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Organization
ENOCH MINISTRIES
Active
Organization
ENOCH MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ELLEN ERTLE (EXECUTIVE DIRECTOR)
(706) 881-2141
Entity
Organization
Contact information
Practice address
1055 BUTTS MILL RD, PINE MOUNTAIN, GA 31822-9430
(706) 881-2141
Mailing address
1055 BUTTS MILL RD, PINE MOUNTAIN, GA 31822-9430
(706) 881-2141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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