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203 Mary Lou Dr Hinesville GA 31313-3413 | |
| (912) 369-7777 | |
| (912) 369-2030 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 203 Mary Lou Dr, Hinesville, Georgia |
| Authorized Official Name and Position | Teresa I Winn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9123697777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
203 Mary Lou Drive Hinesville GA 31313 Ph: (912) 369-7777 | 203 Mary Lou Dr Hinesville GA 31313-3413 Ph: (912) 369-7777 |
| NPI Number | 1780738690 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780738690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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