| Transitional Family Services, Llc. | |
|
3643 Walton Way Ext Bldg 4 Augusta GA 30909-6677 | |
| (706) 364-1404 | |
| (706) 364-1419 |
| Full Name | Transitional Family Services, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3643 Walton Way Ext Bldg 4, Augusta, Georgia |
| Authorized Official Name and Position | Amy Towe (REGIONAL DIRECTOR) |
| Authorized Official Contact | 7063641404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Family Services, Llc. 3643 Walton Way Ext Bldg 4 Augusta GA 30909-6677 Ph: (706) 364-1404 | Transitional Family Services, Llc. 3643 Walton Way Ext Bldg 4 Augusta GA 30909-6677 Ph: (706) 364-1404 |
| NPI Number | 1679636724 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 8426042458 |
|---|---|
| Medicare Enrollment ID | O20040413000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679636724 | NPI | - | NPPES |
| 04521161915B | Medicaid | GA |
| Provider Name | Eric Lewkowiez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639288814 PECOS PAC ID: 6709936297 Enrollment ID: I20090603000455 |
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