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Organization

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA

Active
Other names
Tift Adult Outpatient Services, 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
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2301
(229) 386-3221
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
000742475O
GA
Enumeration date
11/20/2006
Last updated
10/06/2025
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