Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Other names
Legacy Behavioral Health Services, Lowndes Adult Outpatient Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE B. STEPHENS CPA (CHIEF FINANCIAL OFFICER)
(229) 671-6108
Entity
Organization
Contact information
Practice address
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
(229) 671-6170
(229) 671-6761
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000601246J
—
GA
Enumeration date
11/22/2006
Last updated
10/07/2025
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