Organization
SOUTHERN COUNSELING SERVICES, LLC
Active
Other names
Southern Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEA HUTCHINSON BS (PRACTICE MANAGER)
(912) 286-3208
Entity
Organization
Contact information
Practice address
437 W PARKER ST, BAXLEY, GA 31513-0605
(912) 705-0858
(912) 705-6423
Mailing address
437 W PARKER ST, BAXLEY, GA 31513-0605
(912) 705-0858
(912) 705-6423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC0082
GA
101YM0800X
Mental Health Counselor
LPC0082
GA
2084P0800X
Psychiatry Physician
Primary
033875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003189544A
—
GA
01
—
1073902938
NPPES
—
Enumeration date
06/19/2017
Last updated
02/25/2021
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