NPI 1003510520
Bhg Lxvi, LLC
Practice location
- Address
- 794 McDonough Road Suite #104, Obot Room #100, Jackson, GA 30233-1572
- Phone
- (770) 775-9044
- Fax
- (770) 775-9075
- Mailing address
- 5001 Spring Valley Road Suite 600 East, Dallas, TX 75244-3946
Authorised official
- Name
- Zack Ragsdale
- Title
- Director
- Phone
- (512) 454-5911
Registered specialties (8)
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
Addiction (Substance Use Disorder) Counselor
Addiction Medicine (Anesthesiology) Physician
Addiction Medicine (Family Medicine) Physician
Addiction Medicine (Internal Medicine) Physician
Addiction Medicine (Preventive Medicine) Physician
Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1003510520
- Entity type
- Organization
- NPI issued
- 28 Mar 2023
- Record last updated
- 7 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.