| Campside Counseling Center | |
|
582 Mel Blount Rd Vidalia GA 30474-9714 | |
| (770) 550-1084 | |
| Not Available |
| Full Name | Campside Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 582 Mel Blount Rd, Vidalia, Georgia |
| Authorized Official Name and Position | Lesha Blount (CEO) |
| Authorized Official Contact | 7705501084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campside Counseling Center 582 Mel Blount Rd Vidalia GA 30474-9714 Ph: (770) 550-1084 | Campside Counseling Center 582 Mel Blount Rd Vidalia GA 30474-9714 Ph: (770) 550-1084 |
| NPI Number | 1487191714 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487191714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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