Organization
SEB HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN SCOTT-YOUNG PH.D. (DIRECTOR, LMFT)
(706) 369-3856
Entity
Organization
Contact information
Practice address
105 WHITEHEAD RD, SUITE 3, ATHENS, GA 30606-1554
(706) 369-3856
(706) 369-3811
Mailing address
105 WHITEHEAD RD, SUITE 3, ATHENS, GA 30606-1554
(706) 369-3856
(706) 369-3811
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 000945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647073911A
—
GA
Enumeration date
09/23/2009
Last updated
09/23/2009
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