Organization
B AND B FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA DENISE BENNETT LBSW, MPA (OWNER)
(334) 559-2011
Entity
Organization
Contact information
Practice address
233 12TH ST, 817, COLUMBUS, GA 31901-2462
(334) 559-2011
Mailing address
233 12TH ST, 817, COLUMBUS, GA 31901-2462
(334) 559-2011
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
4484B
AL
251B00000X
Case Management Agency
CSW003190
GA
251S00000X
Community/Behavioral Health Agency
4484B
AL
251S00000X
Community/Behavioral Health Agency
Primary
CSW003190
GA
253Z00000X
In Home Supportive Care Agency
4484B
AL
253Z00000X
In Home Supportive Care Agency
CSW003190
GA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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