Organization
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Active
Other names
Behavioral Health Services of South Georgia, 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
3120 N OAK STREET EXT, SUITE C, VALDOSTA, GA 31602-1007
(229) 671-6100
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000601246A
—
GA
05
—
000601246J
—
GA
05
—
000607032A
—
GA
05
—
000607032V
—
GA
05
—
000742475C
—
GA
05
—
000742475J
—
GA
05
—
000742475M
—
GA
Enumeration date
01/13/2006
Last updated
09/26/2025
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