| Gateway Bhs - Effingham Tc Now | |
|
275 First Street Extention Springfield GA 31329 | |
| (912) 754-3040 | |
| (912) 754-7108 |
| Full Name | Gateway Bhs - Effingham Tc Now |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 275 First Street Extention, Springfield, Georgia |
| Authorized Official Name and Position | Rachel Skinner (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 9125548498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Bhs - Effingham Tc Now 700 Coastal Village Drive Brunswick GA 31520-1974 Ph: (912) 554-8510 | Gateway Bhs - Effingham Tc Now 275 First Street Extention Springfield GA 31329 Ph: (912) 754-3040 |
| NPI Number | 1073646766 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073646766 | NPI | - | NPPES |
| 000622553G | Medicaid | GA | |
| 000622553R | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
Gateway Bhs - Effingham Tc Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 First Street Extention, Springfield, GA 31329 Phone: 912-754-3040 Fax: 912-754-7108 | |
Gateway Bhs - Effingham Adult Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 First Street, Springfield, GA 31329 Phone: 912-754-3040 Fax: 912-754-7108 | |
Gateway Bhs - Effingham Adult Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 First Street Extention, Springfield, GA 31329 Phone: 912-754-3030 Fax: 912-754-9210 |