Provider Demographics
NPI:1295619583
Name:R3 BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:R3 BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADETRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-435-9856
Mailing Address - Street 1:PO BOX 805
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-0014
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4500 HUGH HOWELL RD STE 145
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4713
Practice Address - Country:US
Practice Address - Phone:404-482-0341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty