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Organization
TIFTAREA PSYCHIATRIC AND COUNSELING SERVICES, LLC
Active
Organization
TIFTAREA PSYCHIATRIC AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEANETTE NIXON LPC (SOLE MEMBER)
(229) 339-3721
Entity
Organization
Contact information
Practice address
223 2ND ST E, SUITE B, TIFTON, GA 31794-4493
(229) 339-3721
(229) 472-9151
Mailing address
PO BOX 1613, TIFTON, GA 31793-1613
(229) 339-3721
(229) 472-9151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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