| South West Georgia Behavioral Health Provider Services Inc. | |
|
2211 Greenoch Ave 2211 Greenoch Albany GA 31721-2054 | |
| (229) 376-2969 | |
| Not Available |
| Full Name | South West Georgia Behavioral Health Provider Services Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2211 Greenoch Ave, Albany, Georgia |
| Authorized Official Name and Position | Vanessa Johnson Cashaw (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 2293769140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South West Georgia Behavioral Health Provider Services Inc. 2211 Greenoch Ave 2211 Greenoch Albany GA 31721-2054 Ph: (229) 376-9140 | South West Georgia Behavioral Health Provider Services Inc. 2211 Greenoch Ave 2211 Greenoch Albany GA 31721-2054 Ph: (229) 376-2969 |
| NPI Number | 1952769440 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952769440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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