Organization
ATLANTIC COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY BLACK PHD (OWNER)
(912) 200-3195
Entity
Organization
Contact information
Practice address
132 STEPHENSON AVE, SUITE 100, SAVANNAH, GA 31405-5828
(912) 200-3195
(912) 349-7983
Mailing address
132 STEPHENSON AVE, SUITE 100, SAVANNAH, GA 31405-5828
(912) 200-3195
(912) 349-7983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003476
GA
Other
Enumeration date
08/28/2012
Last updated
01/17/2013
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