Provider Demographics
NPI:1316356926
Name:UBHS INC
Entity Type:Organization
Organization Name:UBHS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-939-1288
Mailing Address - Street 1:2900 CHAMBLEE TUCKER RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4100
Mailing Address - Country:US
Mailing Address - Phone:770-939-1288
Mailing Address - Fax:770-212-2203
Practice Address - Street 1:2900 CHAMBLEE TUCKER RD
Practice Address - Street 2:SUITE 16
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-4100
Practice Address - Country:US
Practice Address - Phone:770-939-1288
Practice Address - Fax:770-212-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty