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Organization

TRANSITIONAL FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA FEESER LPC (REGIONAL DIRECTOR)
(706) 364-1404
Entity
Organization

Contact information

Practice address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 364-1404
(706) 364-1419
Mailing address
3643 WALTON WAY EXTENSION, AUGUSTA, GA 30909-6677
(706) 364-1404
(706) 364-1419

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC005622
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045211619A
GA
Enumeration date
06/01/2009
Last updated
06/01/2009
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