Organization
COASTAL INNOVATIVE COUNSELING SOLUTIONS, LLC
Active
Other names
Helen Schandolph
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN D SCHANDOLPH LCSW (CEO)
(912) 713-6275
Entity
Organization
Contact information
Practice address
1 JOHNSTON ST, SUITE 6, SAVANNAH, GA 31405-5531
(912) 495-5600
(855) 223-9969
Mailing address
PO BOX 13309, SAVANNAH, GA 31416-0309
(912) 495-5600
(855) 223-9969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465197000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
CSW003068
CLINICAL SOCIAL WORKER
GA
Enumeration date
03/27/2017
Last updated
03/27/2017
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