Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Other names
Legacy Behavioral Health Services, Lowndes C&A Outpatient Services
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 B, VALDOSTA, GA 31602-5910
(229) 671-6164
(229) 671-6750
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000742475M
—
GA
Enumeration date
11/20/2006
Last updated
10/08/2025
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