Provider Demographics
NPI:1114625878
Name:WERNER BEHAVIORAL HEALTH CENTER
Entity Type:Organization
Organization Name:WERNER BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ASBELL-WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:478-321-8665
Mailing Address - Street 1:2929 WATSON BLVD
Mailing Address - Street 2:SUITE 2 #190
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093
Mailing Address - Country:US
Mailing Address - Phone:478-321-8665
Mailing Address - Fax:
Practice Address - Street 1:113 POLLY COURT
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:478-321-8665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC013468OtherROBERT S WERNER