Whalio Doctors

NPI 1003510520

Bhg Lxvi, LLC

Organisation Addiction Medicine (Psychiatry & Neurology) Physician Jackson, GA

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
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Addiction Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LA0401X
Addiction Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X
Addiction Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RA0401X
Addiction Medicine (Preventive Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

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.