# SAPELO COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942355888
- **Authorized official:** DR. MAXWELL BYRON KENNEDY M.F.T. (PRESIDENT)
- **Authorized official phone:** (912) 682-2709

## Contact information

- **Practice address:** 106 OAK ST STE A, STATESBORO, GA 30458-0988
- **Practice address phone:** (912) 682-2709
- **Practice address fax:** (912) 764-5661
- **Mailing address:** PO BOX 373, STATESBORO, GA 30459-0373
- **Mailing address phone:** (912) 682-2709
- **Mailing address fax:** (912) 764-5661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000585 | GA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/21/2009