| Springhealth Behavioral Health And Integrated Care Georgia, Llc | |
|
1705 River St Valdosta GA 31601 | |
| (502) 297-0133 | |
| (502) 297-0289 |
| Full Name | Springhealth Behavioral Health And Integrated Care Georgia, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1705 River St, Valdosta, Georgia |
| Authorized Official Name and Position | Tyler Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springhealth Behavioral Health And Integrated Care Georgia, Llc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 297-0133 | Springhealth Behavioral Health And Integrated Care Georgia, Llc 1705 River St Valdosta GA 31601 Ph: (502) 297-0133 |
| NPI Number | 1316350457 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 12/17/2020 |
| Certification Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316350457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (Georgia) | Secondary |
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