Organization
GEORGIA INTERVENTIONS & FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN M SLACKS BA (OFFICE ASSISTANT)
(229) 457-7205
Entity
Organization
Contact information
Practice address
115 S SHERMAN ST, FITZGERALD, GA 31750-2912
(229) 457-7205
Mailing address
239 KATHLEEN DR, FITZGERALD, GA 31750-7111
(229) 457-7205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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