| Tiftarea Psychiatric And Counseling Services, Llc | |
|
223 2nd St E Suite B Tifton GA 31794-4493 | |
| (229) 339-3721 | |
| (229) 472-9151 |
| Full Name | Tiftarea Psychiatric And Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 223 2nd St E, Tifton, Georgia |
| Authorized Official Name and Position | Angeanette Nixon (SOLE MEMBER) |
| Authorized Official Contact | 2293393721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiftarea Psychiatric And Counseling Services, Llc Po Box 1613 Tifton GA 31793-1613 Ph: (229) 339-3721 | Tiftarea Psychiatric And Counseling Services, Llc 223 2nd St E Suite B Tifton GA 31794-4493 Ph: (229) 339-3721 |
| NPI Number | 1669847760 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 12/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669847760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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