Organization
MOON RIVER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANEY BASKIN BRACKETT LCSW (OWNER/CLINICIAN)
(912) 244-2071
Entity
Organization
Contact information
Practice address
340 EISENHOWER DR STE 300B, SAVANNAH, GA 31406-2683
(912) 244-2071
Mailing address
340 EISENHOWER DR STE 300B, SAVANNAH, GA 31406-2683
(901) 486-2230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/02/2022
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