| Behavioral Counseling And Intervention Management, Llc | |
|
511 Telfair St Dublin GA 31021-5144 | |
| (478) 274-9003 | |
| (478) 275-1916 |
| Full Name | Behavioral Counseling And Intervention Management, Llc |
|---|---|
| Speciality | Counselor |
| Location | 511 Telfair St, Dublin, Georgia |
| Authorized Official Name and Position | Martha C Mincey (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4782757854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Counseling And Intervention Management, Llc 787 Old Macon Rd Dublin GA 31021-0941 Ph: (478) 274-9003 | Behavioral Counseling And Intervention Management, Llc 511 Telfair St Dublin GA 31021-5144 Ph: (478) 274-9003 |
| NPI Number | 1548497696 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548497696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC003234 (Georgia) | Primary |
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