| Organization Name: | LENOX BEHAVIORAL HEALTH, LLC |
| NPI Number: | 1073979399 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA BECK (CFO) |
| Mailing Address: | 3870 Medical Park Dr Austell |
| State: | GA US |
| Postal Code: | 301061110 |
| Phone Number: | 7709299033 |
| Fax Number: | 7709299092 |
| NPI Enumeration Date: | 01/04/2016 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY0002940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |