South Georgia Csb in Valdosta - Mental Health (including Community Mental Health Center)
South Georgia Csb - NPI 1407929730
South Georgia Csb is a Mental Health (including Community Mental Health Center) in Valdosta, Georgia. South Georgia Csb practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for South Georgia Csb is 1407929730. The last update date is 2009-01-08.
South Georgia Csb's current location address is 252 N Saint Augustine Rd, Valdosta, Georgia. You can contact this provider via phone number 2292456400 and fax number 2292494996. The mailing address for South Georgia Csb is 252 N Saint Augustine Rd, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Georgia Csb |
|---|---|
| Address | 252 N Saint Augustine Rd, Valdosta, Georgia |
| Phone Number | 2292456400 |
| Fax Number | 2292494996 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Harrell Brenda |
| Telephone Number | 2296716140 |
NPI Number Detail
| NPI Number | 1407929730 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2009-01-08 |
Provider Mailing Address Detail
| Address | 252 N Saint Augustine Rd |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316015274 |
| Phone Number | 2292456400 |
| Fax Number | 2292494996 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0000742475O | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Georgia Csb by the Centers for Medicare & Medicaid Services?
The South Georgia Csb has been issued the NPI (National Provider Identifier) 1407929730, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of South Georgia Csb?
The South Georgia Csb is physically situated at 252 N Saint Augustine Rd, in the city of Valdosta, state of GA, with the postal code 316015274.
What is the area of specialization for South Georgia Csb, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Georgia Csb is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0801X.
On what date did the South Georgia Csb receive its 1407929730 assignment from the Centers for Medicare & Medicaid Services?
The South Georgia Csb was assigned its 1407929730 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date were the details pertaining to South Georgia Csb last refreshed?
The information related to the South Georgia Csb, including its address, specialty, and other relevant details, was last updated on 2009-01-08.