| Behavioral Health Services Of S Ga | |
|
3120 N Oak Street Ext Suite C Valdosta GA 31602-1007 | |
| (229) 671-6101 | |
| (229) 333-7097 |
| Full Name | Behavioral Health Services Of S Ga |
|---|---|
| Speciality | Clinic/Center |
| Location | 3120 N Oak Street Ext, Valdosta, Georgia |
| Authorized Official Name and Position | William F. Huling (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2296716140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Of S Ga 3120 N Oak Street Ext Ste C Valdosta GA 31602-5910 Ph: (229) 671-6125 | Behavioral Health Services Of S Ga 3120 N Oak Street Ext Suite C Valdosta GA 31602-1007 Ph: (229) 671-6101 |
| NPI Number | 1801932371 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Medicare PECOS PAC ID | 0840181426 |
|---|---|
| Medicare Enrollment ID | O20040323000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801932371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jaymal R. Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962433599 PECOS PAC ID: 3779474010 Enrollment ID: I20040324000650 |
| Provider Name | Nitin R Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770511156 PECOS PAC ID: 2466443296 Enrollment ID: I20040520001072 |
| Provider Name | Paresh K Thanki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982786224 PECOS PAC ID: 6800820317 Enrollment ID: I20050923000768 |
| Provider Name | Lawrence Reccoppa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215095534 PECOS PAC ID: 9133354301 Enrollment ID: I20131023001465 |
| Provider Name | Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821380130 PECOS PAC ID: 3971724717 Enrollment ID: I20141021001085 |
| Provider Name | Stanley Soles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750790465 PECOS PAC ID: 3779800834 Enrollment ID: I20150330001084 |
| Provider Name | Chasity Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376853911 PECOS PAC ID: 7810178654 Enrollment ID: I20160725000728 |
| Provider Name | Catherine Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346732617 PECOS PAC ID: 1850640996 Enrollment ID: I20180822001698 |
| Provider Name | David Stidham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700378049 PECOS PAC ID: 0749539674 Enrollment ID: I20180824002914 |
| Provider Name | Kelly S Rychener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647581 PECOS PAC ID: 8325398613 Enrollment ID: I20180907000339 |
| Provider Name | Nishaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528611365 PECOS PAC ID: 2860826476 Enrollment ID: I20200107000511 |
| Provider Name | Edwin Hiatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699889121 PECOS PAC ID: 2264867720 Enrollment ID: I20200111000064 |
| Provider Name | Jenny Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629600432 PECOS PAC ID: 3971933888 Enrollment ID: I20200416002723 |
| Provider Name | Dola T Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023607140 PECOS PAC ID: 7214341544 Enrollment ID: I20210128001101 |
| Provider Name | Maria Culpa-bondal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548501745 PECOS PAC ID: 7315220522 Enrollment ID: I20210210002322 |
| Provider Name | Latina Natriceo Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538734850 PECOS PAC ID: 8628012937 Enrollment ID: I20210610003079 |
| Provider Name | Bree Sierra Cowart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299210 PECOS PAC ID: 5597148213 Enrollment ID: I20220812002731 |
| Provider Name | Alesia Rochale Traeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891095451 PECOS PAC ID: 0648641449 Enrollment ID: I20230113000381 |
| Provider Name | Chelsey L Mondy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467159285 PECOS PAC ID: 3779946231 Enrollment ID: I20230830004035 |
| Provider Name | Stephanie Ann Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962945048 PECOS PAC ID: 8123478484 Enrollment ID: I20231228002191 |
| Provider Name | Shannon L Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427742774 PECOS PAC ID: 4587014618 Enrollment ID: I20240102001285 |
| Provider Name | James L Nunn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326323049 PECOS PAC ID: 0840466306 Enrollment ID: I20240103000401 |
| Provider Name | Andrew J Courson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194291625 PECOS PAC ID: 4587015953 Enrollment ID: I20240110001901 |
| Provider Name | Mallory M Sims |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679089320 PECOS PAC ID: 5597116970 Enrollment ID: I20240110002243 |
| Provider Name | Samira Y Rampley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093491078 PECOS PAC ID: 3274985957 Enrollment ID: I20240118000735 |
| Provider Name | Jodi Olesia Thomas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518722677 PECOS PAC ID: 8123463957 Enrollment ID: I20240301003135 |
Lynze Vickers, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Noble Way, Suite B, Valdosta, GA 31605 Phone: 229-333-0300 | |
Renewed Mind Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 N Patterson St Ste B, Valdosta, GA 31602 Phone: 229-232-4833 Fax: 877-343-0538 | |
Southern Neurology, Physical Medicine & Rehabilitation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4913 Lanes Pond Rd, Valdosta, GA 31601 Phone: 229-292-2074 | |
Megan Tillman Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 Bemiss Rd, Valdosta, GA 31605 Phone: 229-586-6082 | |
The Healing Touch Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4072 Mulligan Rd, Valdosta, GA 31605 Phone: 229-356-7190 | |
Greenleaf Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2209 Pineview Dr, Valdosta, GA 31602 Phone: 229-247-4357 Fax: 229-244-6194 | |
Cazales Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St Bldg A1, Valdosta, GA 31602 Phone: 203-606-1676 Fax: 229-598-0557 |