Brantley Counseling Llc | |
518 Couper Rd Waynesville GA 31566-3438 | |
(912) 292-6087 | |
(912) 244-9914 |
Full Name | Brantley Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 518 Couper Rd, Waynesville, Georgia |
Authorized Official Name and Position | Crystal J Wright (SOLE MEMBER) |
Authorized Official Contact | 9122926087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brantley Counseling Llc Po Box 254 Waynesville GA 31566-0254 Ph: (912) 292-6087 | Brantley Counseling Llc 518 Couper Rd Waynesville GA 31566-3438 Ph: (912) 292-6087 |
NPI Number | 1497201719 |
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Provider Enumeration Date | 08/28/2016 |
Last Update Date | 01/24/2024 |
Certification Date | 01/24/2024 |
Identifier | Type | State | Issuer |
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1497201719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LCSW 34536 (Idaho) | Primary |