Provider Demographics
NPI:1083322549
Name:ABHAYA BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ABHAYA BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SWARNALATHA
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:YERRAPU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-303-3544
Mailing Address - Street 1:2011 CHAPEL PLAZA CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203
Mailing Address - Country:US
Mailing Address - Phone:573-303-3544
Mailing Address - Fax:573-303-3540
Practice Address - Street 1:2011 CHAPEL PLAZA CT
Practice Address - Street 2:STE 9
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-6398
Practice Address - Country:US
Practice Address - Phone:573-303-3544
Practice Address - Fax:573-303-3540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty