Organization
ADVANCED BEHAVIORAL HEALTH SERVICES OF TIFTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER IVERSON LCSW (LCSW/OWNER)
(662) 242-0122
Entity
Organization
Contact information
Practice address
16 LIBRARY LN, TIFTON, GA 31794-4415
(229) 396-5885
Mailing address
16 LIBRARY LN, TIFTON, GA 31794-4415
(229) 396-5885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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