| Jean Goldthwait Lcsw | |
|
9390 Ford Ave Richmond Hill GA 31324-6421 | |
| (315) 744-0765 | |
| (912) 445-4955 |
| Full Name | Jean Goldthwait Lcsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9390 Ford Ave, Richmond Hill, Georgia |
| Authorized Official Name and Position | Jean Marie Goldthwait (OWNER) |
| Authorized Official Contact | 3157440765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Goldthwait Lcsw 755 Belle Island Rd Richmond Hill GA 31324-6026 Ph: (315) 744-0765 | Jean Goldthwait Lcsw 9390 Ford Ave Richmond Hill GA 31324-6421 Ph: (315) 744-0765 |
| NPI Number | 1891250718 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891250718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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