| Southern Behavioral Services | |
|
179 Pierce Ave Macon GA 31204-2821 | |
| (478) 742-1464 | |
| (478) 742-1883 |
| Full Name | Southern Behavioral Services |
|---|---|
| Speciality | Counselor |
| Location | 179 Pierce Ave, Macon, Georgia |
| Authorized Official Name and Position | Miona G Gordon (PRESIDENT) |
| Authorized Official Contact | 4787421464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Behavioral Services 179 Pierce Ave Macon GA 31204-2821 Ph: (478) 742-1464 | Southern Behavioral Services 179 Pierce Ave Macon GA 31204-2821 Ph: (478) 742-1464 |
| NPI Number | 1700839735 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/26/2008 |
| Medicare PECOS PAC ID | 0749562619 |
|---|---|
| Medicare Enrollment ID | O20170130001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700839735 | NPI | - | NPPES |
| 116537069A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 004182 (Georgia) | Primary |
| 106H00000X | Marriage & Family Therapist | 000992 (Georgia) | Secondary |
| Provider Name | Stephen D Mallary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366515645 PECOS PAC ID: 2860666328 Enrollment ID: I20111117000736 |
| Provider Name | Rosamond E Goudeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467549790 PECOS PAC ID: 8224280664 Enrollment ID: I20121210000394 |
| Provider Name | Kerri Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962822627 PECOS PAC ID: 1153604889 Enrollment ID: I20170203000753 |
| Provider Name | Wendie Brannen Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982857991 PECOS PAC ID: 0547590861 Enrollment ID: I20190928000081 |
| Provider Name | Riuyinosa Elema |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780144956 PECOS PAC ID: 6406185024 Enrollment ID: I20220810003796 |
| Provider Name | Betsy Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841282084 PECOS PAC ID: 0840640496 Enrollment ID: I20231222002418 |
| Provider Name | Kathryn Mcgehee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356833388 PECOS PAC ID: 3375994288 Enrollment ID: I20240104002924 |
| Provider Name | Martha Harrell Fennell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699099572 PECOS PAC ID: 0446602346 Enrollment ID: I20240116003684 |
| Provider Name | Barbara A Newton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417015488 PECOS PAC ID: 0840642179 Enrollment ID: I20240123000076 |
| Provider Name | Ervin N/a Briones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265946974 PECOS PAC ID: 1052764586 Enrollment ID: I20240131002099 |
Family Behavioral Care Of Central Ga, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3985 Arkwright Rd, Suite 102, Macon, GA 31210 Phone: 478-474-4265 Fax: 478-474-7863 | |
Ste. A Emery Hwy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217a Emery Hwy, Macon, GA 31217 Phone: 478-751-4519 | |
Nancy Paulk Mobley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Arlington Pl, Macon, GA 31201 Phone: 478-743-1472 Fax: 478-743-1472 | |
Sleep Practitioners, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 275 Sheraton Blvd Ste 100, Macon, GA 31210 Phone: 478-745-5779 Fax: 478-742-7796 | |
Inner-connect Counseling, Consulting & Education Svc., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Ingleside Ave, Bldg. B, Ste. 102c, Macon, GA 31204 Phone: 478-361-0033 | |
Life Solutions Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 146 Pierce Ave, Macon, GA 31204 Phone: 478-796-2947 Fax: 478-210-2170 | |
The Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 Arlington Pl, Macon, GA 31201 Phone: 478-475-1299 |