Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Other names
Behavioral Health Svcs of S Georgia, Legacy Behavioral Health Services
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, SUITE C, VALDOSTA, GA 31602-1007
(229) 671-6140
(229) 333-5263
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030865A
—
GA
Enumeration date
02/07/2007
Last updated
11/14/2025
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