| |
110 Maggie Califf St Gray GA 31032-9322 | |
(478) 751-4519 | |
Not Available |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 110 Maggie Califf St, Gray, Georgia |
Authorized Official Name and Position | Emily Beth Tyler (CFO) |
Authorized Official Contact | 4787513231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
110 Maggie Califf St Gray GA 31032-9322 Ph: (478) 751-4519 | 110 Maggie Califf St Gray GA 31032-9322 Ph: (478) 751-4519 |
NPI Number | 1245399666 |
---|---|
Provider Enumeration Date | 12/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245399666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Georgia) | Primary |
Amanda S Hood Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 W Clinton St, Gray, GA 31032 Phone: 678-825-5167 Fax: 478-986-2337 | |
Michael Williamson Mft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 W Clinton St, Gray, GA 31032 Phone: 478-227-4189 |