| Soulshine Counseling Services, Llc | |
|
316 W Ogeechee St Ste D Sylvania GA 30467-1933 | |
| (912) 536-5418 | |
| Not Available |
| Full Name | Soulshine Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 316 W Ogeechee St Ste D, Sylvania, Georgia |
| Authorized Official Name and Position | Michelle Ware (OWNER) |
| Authorized Official Contact | 9125365418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulshine Counseling Services, Llc Po Box 1982 Sylvania GA 30467-7182 Ph: () - | Soulshine Counseling Services, Llc 316 W Ogeechee St Ste D Sylvania GA 30467-1933 Ph: (912) 536-5418 |
| NPI Number | 1447823976 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 7315380672 |
|---|---|
| Medicare Enrollment ID | O20240205000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447823976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Karen Ware |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730591314 PECOS PAC ID: 8224471586 Enrollment ID: I20240205000640 |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Cherry St, Sylvania, GA 30467 Phone: 912-564-7222 Fax: 912-564-7951 | |
Evergreen Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 W Ogeechee St Ste D, Sylvania, GA 30467 Phone: 912-687-2611 | |
Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 E Ogeechee St, Sylvania, GA 30467 Phone: 912-564-7825 Fax: 912-564-5778 | |
Gerdie And Louise Personal Care Home, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1223 Newington Hwy, Sylvania, GA 30467 Phone: 912-978-0267 | |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Lawton Rd, Sylvania, GA 30467 Phone: 912-829-4511 Fax: 478-289-2798 | |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Cherry St, Sylvania, GA 30467 Phone: 912-564-7222 Fax: 912-564-7951 |