Organization
SOUTHEASTERN HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA JANE HART M.S.W. (PRESIDENT)
(904) 280-4491
Entity
Organization
Contact information
Practice address
1624 FREDERICA RD, SUITE 3, SAINT SIMONS ISLAND, GA 31522-2506
(912) 634-1677
(912) 634-1677
Mailing address
1624 FREDERICA RD, SUITE 3, SAINT SIMONS ISLAND, GA 31522-2506
(912) 634-1677
(912) 634-1677
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY001838
GA
103T00000X
Psychologist
PSY001838
GA
103TA0700X
Adult Development & Aging Psychologist
PSY001838
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY001838
GA
103TC0700X
Clinical Psychologist
PSY001838
GA
103TC1900X
Counseling Psychologist
PSY001838
GA
103TH0004X
Health Psychologist
Primary
PSY001838
GA
103TH0100X
Health Service Psychologist
PSY001838
GA
103TP2701X
Group Psychotherapy Psychologist
PSY001838
GA
103TR0400X
Rehabilitation Psychologist
PSY001838
GA
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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