| Wholistic Therapeutic Services | |
|
911 Main St S Tifton GA 31794-4867 | |
| (229) 396-4689 | |
| (229) 396-4605 |
| Full Name | Wholistic Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 911 Main St S, Tifton, Georgia |
| Authorized Official Name and Position | Jamie V. Tanner (OPERATIONS MANAGER) |
| Authorized Official Contact | 2293964689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Therapeutic Services Po Box 1743 Tifton GA 31793-1743 Ph: (229) 396-4689 | Wholistic Therapeutic Services 911 Main St S Tifton GA 31794-4867 Ph: (229) 396-4689 |
| NPI Number | 1558971804 |
|---|---|
| Provider Enumeration Date | 08/02/2020 |
| Last Update Date | 08/02/2020 |
| Certification Date | 08/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558971804 | NPI | - | NPPES |
| 003189286A | Medicaid | GA |
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