# BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Behavioral Health Services, Lowndes C&A Outpatient Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396810412
- **Authorized official:** MRS. JANE B. STEPHENS CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (229) 671-6108

## Contact information

- **Practice address:** 3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
- **Practice address phone:** (229) 671-6164
- **Practice address fax:** (229) 671-6750
- **Mailing address:** 3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
- **Mailing address phone:** (229) 671-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 10/08/2025