Organization
ENHANCE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRANA CRAIG (DIRECTOR)
(478) 258-7798
Entity
Organization
Contact information
Practice address
3083 VINEVILLE AVE, MACON, GA 31204-2460
(478) 258-7798
(888) 536-0360
Mailing address
141 WOLF CREEK DR N, MACON, GA 31210-9002
(478) 955-9779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3852
GA
101YM0800X
Mental Health Counselor
Primary
3852
GA
101YM0800X
Mental Health Counselor
APC006446
GA
1041C0700X
Clinical Social Worker
3153
GA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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