Provider Demographics
NPI:1841168440
Name:SIGNATURE BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:SIGNATURE BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TASHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KANHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-603-0380
Mailing Address - Street 1:1229 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-5008
Mailing Address - Country:US
Mailing Address - Phone:404-603-0380
Mailing Address - Fax:
Practice Address - Street 1:1229 BENT CREEK DR
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-5008
Practice Address - Country:US
Practice Address - Phone:404-603-0380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health