Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Other names
Legacy Behavioral Health Services, Behavioral Health Svcs of South Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE B. STEPHENS CPA (CHIEF FINANCIAL OFFICER)
(229) 671-6108
Entity
Organization
Contact information
Practice address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030865E
—
GA
Enumeration date
02/07/2007
Last updated
10/07/2025
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