Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Behavioral Healthcare, PC

Organization Psychiatry Physician · NPI 1598732869

Southern Behavioral Healthcare, PC is a Psychiatry Physician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Braxton Ct
Fayetteville, GA 30214-1968
Phone: (678) 610-7100
Fax: (678) 610-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 051606 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 64622 (GA)

Record details

NPI number1598732869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Salewa Taiwo — Office Manager · (678) 610-7100
NPI enumeratedMarch 4, 2006
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address110 Braxton Ct, Fayetteville, GA 30214-1968

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