Organization
AMERICANWORK, INC.
Active
Parent organization
PROVIDENCE SERVICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE SERVICE CORPORATION
Authorized official
WAKEITHA VAIL (BILLING SPECIALIST)
(912) 658-1149
Entity
Organization
Contact information
Practice address
836 E 65TH ST, SUITE 2, SAVANNAH, GA 31405-4434
(912) 354-4460
(912) 354-2259
Mailing address
1727 WRIGHTSBORO RD STE B, AUGUSTA, GA 30904-4049
(912) 638-0350
(706) 736-8184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000902063X
—
GA
Enumeration date
05/01/2015
Last updated
01/04/2019
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