Organization
TRANSFORMATIONS OF STATESBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND SELWYN SCOTT CAC II, CCS (CEO/OWNER)
(912) 243-9310
Entity
Organization
Contact information
Practice address
326 MYRTLE CROSSING DR STE 300, STATESBORO, GA 30458-4429
(912) 243-9310
(912) 243-9311
Mailing address
326 MYRTLE CROSSING DR STE 300, STATESBORO, GA 30458-4429
(912) 243-9310
(912) 243-9311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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