| Two Rivers Counseling And Psychological Services, Llc | |
|
72 Bonnie Reed Psge Midway GA 31320-4925 | |
| (912) 421-4432 | |
| (912) 525-2897 |
| Full Name | Two Rivers Counseling And Psychological Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 72 Bonnie Reed Psge, Midway, Georgia |
| Authorized Official Name and Position | Jeremy Lormis (DIRECTOR) |
| Authorized Official Contact | 9129805074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Counseling And Psychological Services, Llc 72 Bonnie Reed Psge Midway GA 31320-4925 Ph: (912) 421-4432 | Two Rivers Counseling And Psychological Services, Llc 72 Bonnie Reed Psge Midway GA 31320-4925 Ph: (912) 421-4432 |
| NPI Number | 1376158360 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376158360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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