| Good Samaritan Behavioral Health, Inc. | |
|
138 Canal St Unit 307 Pooler GA 31322-4051 | |
| (912) 348-3486 | |
| (912) 348-3489 |
| Full Name | Good Samaritan Behavioral Health, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 138 Canal St, Pooler, Georgia |
| Authorized Official Name and Position | Deirdre Anderson-white (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9123483486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Behavioral Health, Inc. 138 Canal St Unit 307 Pooler GA 31322-4051 Ph: (912) 348-3486 | Good Samaritan Behavioral Health, Inc. 138 Canal St Unit 307 Pooler GA 31322-4051 Ph: (912) 348-3486 |
| NPI Number | 1851768329 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 08/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851768329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007063 (Georgia) | Primary |
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