Organization
TWO RIVERS COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY LORMIS PHD, LPC (DIRECTOR)
(912) 980-5074
Entity
Organization
Contact information
Practice address
72 BONNIE REED PSGE, MIDWAY, GA 31320-4925
(912) 421-4432
(912) 525-2897
Mailing address
72 BONNIE REED PSGE, MIDWAY, GA 31320-4925
(912) 421-4432
(912) 525-2897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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