| Southeastern Counseling Center, Inc. | |
|
812 Towne Park Dr., Unit 400 Rincon GA 31326-0667 | |
| (912) 826-1145 | |
| (912) 826-1245 |
| Full Name | Southeastern Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 812 Towne Park Dr., Unit 400, Rincon, Georgia |
| Authorized Official Name and Position | Teresa Lynn Oglesbee (THERAPIST/OWNER) |
| Authorized Official Contact | 9128261145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Counseling Center, Inc. P.o. Box 667 Rincon GA 31326-0667 Ph: (912) 826-1145 | Southeastern Counseling Center, Inc. 812 Towne Park Dr., Unit 400 Rincon GA 31326-0667 Ph: (912) 826-1145 |
| NPI Number | 1144555202 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144555202 | NPI | - | NPPES |
| 600030703 | Other | GA | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004615 (Georgia) | Primary |
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