Organization
GEORBEA ENTERPRISES LLC
Active
Parent organization
GEORBEA ENTERPRISES
Other names
Legacy Counseling Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORBEA ENTERPRISES
Authorized official
DR. AUNDRA SIMMONS VAUGHN LPC (OWNER/PROVIDER)
(912) 342-2788
Entity
Organization
Contact information
Practice address
15938 US HIGHWAY 17, TOWNSEND, GA 31331-3706
(912) 342-2788
(877) 408-8199
Mailing address
1038 BREEZE WAY AVE NE, TOWNSEND, GA 31331-6511
(912) 342-2788
(877) 408-8199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201308A
—
GA
Enumeration date
01/09/2018
Last updated
12/02/2019
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