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Organization
TWO RIVERS COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Active
Organization
TWO RIVERS COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY LORMIS PHD, LPC (DIRECTOR)
(912) 980-5074
Entity
Organization
Contact information
Practice address
72 BONNIE REED PSGE, MIDWAY, GA 31320-4925
(912) 421-4432
(912) 525-2897
Mailing address
72 BONNIE REED PSGE, MIDWAY, GA 31320-4925
(912) 421-4432
(912) 525-2897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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