Provider Demographics
NPI:1083185656
Name:BHATTI, PIA
Entity Type:Individual
Prefix:
First Name:PIA
Middle Name:
Last Name:BHATTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 RANKIN CIR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8689
Mailing Address - Country:US
Mailing Address - Phone:770-837-8253
Mailing Address - Fax:
Practice Address - Street 1:560 HIGHWAY 138 W
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-2222
Practice Address - Country:US
Practice Address - Phone:770-837-8253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health