Organization
PINELAND AREA COMMUNITY SERVICES BOARD
Active
Other names
Pineland BHDD CSB, Pineland MHMRSA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA CONE-DEKLE PH.D. (INTERIM CEO)
(912) 764-6906
Entity
Organization
Contact information
Practice address
11 N COLLEGE ST, STATESBORO, GA 30458-5306
(912) 764-9868
(912) 764-5066
Mailing address
PO BOX 745, STATESBORO, GA 30459-0745
(912) 764-6906
(912) 764-6466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000599343A
—
GA
05
—
000599343AA
—
GA
05
—
000599343B
—
GA
05
—
000599343C
—
GA
05
—
000599343D
—
GA
05
—
000599343G
—
GA
05
—
000599343O
—
GA
05
—
000599343X
—
GA
05
—
000599343Y
—
GA
05
—
000599343Z
—
GA
05
—
000622542A
—
GA
05
—
000622542AD
—
GA
05
—
000622542AH
—
GA
05
—
000622542AI
—
GA
05
—
000622542AJ
—
GA
05
—
000622542AO
—
GA
05
—
000622542AP
—
GA
05
—
000622542AQ
—
GA
05
—
000622542AR
—
GA
05
—
000622542AU
—
GA
05
—
000622542AV
—
GA
05
—
000622542B
—
GA
05
—
000622542BA
—
GA
05
—
000622542BB
—
GA
05
—
000622542G
—
GA
05
—
000622542J
—
GA
05
—
000720068A
—
GA
05
—
000720068B
—
GA
05
—
000720068D
—
GA
05
—
000720068K
—
GA
05
—
000720068L
—
GA
05
—
000720068M
—
GA
05
—
000720068O
—
GA
05
—
000722147B
—
GA
05
—
000981505A
—
GA
Enumeration date
11/13/2006
Last updated
09/09/2025
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