Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BARRETT (ADMINISTRATIVE ASSISTANT TO CCO)
(229) 671-6129
Entity
Organization
Contact information
Practice address
201 W MCPHERSON AVE, NASHVILLE, GA 31639-2131
(229) 671-6100
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6198
(229) 671-6774
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26QM0801X
TAXONOMY
GA
Enumeration date
09/05/2018
Last updated
09/05/2018
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