Organization
EAST GEORGIA COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM S HULSEY LCSW (CEO)
(912) 764-7785
Entity
Organization
Contact information
Practice address
125 N COLLEGE ST, STATESBORO, GA 30458-5387
(912) 764-7785
(912) 764-6977
Mailing address
PO BOX 1681, STATESBORO, GA 30459-1681
(912) 764-7785
(912) 764-6977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957877A
—
GA
Enumeration date
07/05/2010
Last updated
03/08/2011
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