OrganizationActive
Saint Lazarus Behavioral Health Inc.
NPI 1780814574 · Adolescent and Children Mental Health Clinic/Center · Macon, GA
Provider details
- NPI number
- 1780814574
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Samuel, President(865) 765-8224
- License
- 056360 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
4905 Forsyth Rd
Macon, GA 31210-4401
Phone: (865) 765-8224
Fax: (478) 474-6585
Approximate (ZIP-level) locationGet directions
Mailing address
273 Providence Blvd
Macon, GA 31210-7565
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2009-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.