Organization
CENTERED FOR LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN TEMMER LPC (CLINICAL DIRECTOR)
(912) 268-4488
Entity
Organization
Contact information
Practice address
2487 DEMERE RD STE 500, ST SIMONS ISLAND, GA 31522-5644
(912) 268-4488
Mailing address
2487 DEMERE RD STE 500, ST SIMONS ISLAND, GA 31522-5644
(912) 268-4488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316051030
NPI
GA
01
—
1538448402
NPI
GA
Enumeration date
04/01/2021
Last updated
02/01/2022
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