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Organization
BLUE IRIS THERAPEUTIC SERVICES
Active
Organization
BLUE IRIS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WHITNEY M. BROWN LCSW (OWNER)
(912) 658-0399
Entity
Organization
Contact information
Practice address
865 HERBERT KESSLER RD, GUYTON, GA 31312-5810
(912) 658-0399
Mailing address
865 HERBERT KESSLER RD, GUYTON, GA 31312-5810
(912) 658-0399
Taxonomy
Speciality
Code
Description
License number
State
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
02/02/2021
Last updated
10/31/2022
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