Organization
SPRINGHEALTH BEHAVIORAL HEALTH AND INTEGRATED CARE GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
1705 RIVER ST, VALDOSTA, GA 31601
(502) 297-0133
(502) 297-0289
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 297-0133
(502) 297-0289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
GA
Other
Enumeration date
06/06/2014
Last updated
12/17/2020
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