Behavioral Health Services Of South Georgia in Valdosta - Adolescent And Children Mental Health
Behavioral Health Services Of South Georgia - NPI 1396810412
Behavioral Health Services Of South Georgia is a Adolescent And Children Mental Health in Valdosta, Georgia. Behavioral Health Services Of South Georgia practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Behavioral Health Services Of South Georgia is 1396810412. The last update date is 2020-03-31.
Behavioral Health Services Of South Georgia's current location address is 3120 N Oak Street Ext Ste B, Valdosta, Georgia. You can contact this provider via phone number 2296716164 and fax number 2296716750. The mailing address for Behavioral Health Services Of South Georgia is 3120 N Oak Street Ext Ste B, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Behavioral Health Services Of South Georgia |
|---|---|
| Address | 3120 N Oak Street Ext Ste B, Valdosta, Georgia |
| Phone Number | 2296716164 |
| Fax Number | 2296716750 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Huling F. William |
| Credentials | CPA |
| Telephone Number | 2296716140 |
NPI Number Detail
| NPI Number | 1396810412 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2020-03-31 |
Provider Mailing Address Detail
| Address | 3120 N Oak Street Ext Ste B |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316025910 |
| Phone Number | 2296716164 |
| Fax Number | 2296716750 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000742475M | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Behavioral Health Services Of South Georgia by the Centers for Medicare & Medicaid Services?
The Behavioral Health Services Of South Georgia has been assigned the NPI (National Provider Identifier) 1396810412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Behavioral Health Services Of South Georgia?
The Behavioral Health Services Of South Georgia is physically situated at 3120 N Oak Street Ext Ste B, in the city of Valdosta, state of GA, with the postal code 316025910.
What is the Behavioral Health Services Of South Georgia's specialty and taxonomy code?
The Behavioral Health Services Of South Georgia's specialty is Adolescent And Children Mental Health, and the corresponding taxonomy code is 261Qm0855X.
On what date did Behavioral Health Services Of South Georgia receive its 1396810412 assignment from the Centers for Medicare & Medicaid Services?
The Behavioral Health Services Of South Georgia was assigned its 1396810412 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Behavioral Health Services Of South Georgia last refreshed?
The information related to the Behavioral Health Services Of South Georgia, including its address, specialty, and other relevant details, was last updated on 2020-03-31.