Provider Demographics
NPI:1306392568
Name:GH PARTNERS FOR HEALTH LLC
Entity Type:Organization
Organization Name:GH PARTNERS FOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SELESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:336-399-2889
Mailing Address - Street 1:5280 SNAPFINGER PARK DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4044
Mailing Address - Country:US
Mailing Address - Phone:336-399-2889
Mailing Address - Fax:210-362-1824
Practice Address - Street 1:2100 WEST LOOP S
Practice Address - Street 2:923
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3515
Practice Address - Country:US
Practice Address - Phone:336-399-2889
Practice Address - Fax:210-362-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty