| New Groove Counseling, Llc | |
|
205 Osteen Street Port Wentworth GA 31407 | |
| (912) 657-3140 | |
| Not Available |
| Full Name | New Groove Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 205 Osteen Street, Port Wentworth, Georgia |
| Authorized Official Name and Position | Samantha Jane Platta (THERAPIST/OWNER) |
| Authorized Official Contact | 5704365133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Groove Counseling, Llc 205 Osteen Street Port Wentworth GA 31407 Ph: (912) 657-3140 | New Groove Counseling, Llc 205 Osteen Street Port Wentworth GA 31407 Ph: (912) 657-3140 |
| NPI Number | 1780369199 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780369199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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