| East Georgia Counseling Services, Inc. | |
|
125 N College St Statesboro GA 30458-5387 | |
| (912) 764-7785 | |
| (912) 764-6977 |
| Full Name | East Georgia Counseling Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 125 N College St, Statesboro, Georgia |
| Authorized Official Name and Position | Kim S Hulsey (CEO) |
| Authorized Official Contact | 9127647785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Counseling Services, Inc. Po Box 1681 Statesboro GA 30459-1681 Ph: (912) 764-7785 | East Georgia Counseling Services, Inc. 125 N College St Statesboro GA 30458-5387 Ph: (912) 764-7785 |
| NPI Number | 1518279793 |
|---|---|
| Provider Enumeration Date | 07/05/2010 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518279793 | NPI | - | NPPES |
| 00957877A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW000778 (Georgia) | Primary |
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