| Vitality Counseling, Inc | |
|
135 Goshen Road Ext Ste 256 Rincon GA 31326-5575 | |
| (912) 421-1000 | |
| (912) 421-1189 |
| Full Name | Vitality Counseling, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 135 Goshen Road Ext Ste 256, Rincon, Georgia |
| Authorized Official Name and Position | Reagan Reese Powell (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9124211000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Counseling, Inc 135 Goshen Road Ext Ste 203 Rincon GA 31326-5569 Ph: (912) 421-1188 | Vitality Counseling, Inc 135 Goshen Road Ext Ste 256 Rincon GA 31326-5575 Ph: (912) 421-1000 |
| NPI Number | 1437657160 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 09/17/2023 |
| Certification Date | 09/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437657160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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