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

Southern Behavioral Healthcare, PC

Organization Psychiatry Physician · NPI 1598732869

Southern Behavioral Healthcare, PC provides Psychiatry Physician services 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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