Basic Information
| Provider Information | |||||||||
| NPI: | 1174865513 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RIVERWOODS BEHAVIORAL HEALTH, LLC | ||||||||
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| OtherOrganizationName: | LAKEVIEW BEHAVIORAL HEALTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6100 TOWER CIR STE 1000 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370671509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158611000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 TECHNOLOGY PKWY S | ||||||||
| Address2: | |||||||||
| City: | NORCROSS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300922928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6787132600 | ||||||||
| FaxNumber: | 6782454753 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2013 | ||||||||
| LastUpdateDate: | 04/29/2021 | ||||||||
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| AuthorizedOfficialLastName: | HOWARD | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP & SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 6158616000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | RIVERWOODS BEHAVIORAL HEALTH, LLC | ||||||||
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| NPICertificationDate: | 04/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | N | Agencies | Community/Behavioral Health | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.