| Blue Iris Therapeutic Services | |
|
865 Herbert Kessler Rd Guyton GA 31312-5810 | |
| (912) 658-0399 | |
| Not Available |
| Full Name | Blue Iris Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 865 Herbert Kessler Rd, Guyton, Georgia |
| Authorized Official Name and Position | Whitney M. Brown (OWNER) |
| Authorized Official Contact | 9126580399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Iris Therapeutic Services 865 Herbert Kessler Rd Guyton GA 31312-5810 Ph: (912) 658-0399 | Blue Iris Therapeutic Services 865 Herbert Kessler Rd Guyton GA 31312-5810 Ph: (912) 658-0399 |
| NPI Number | 1518558410 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 10/31/2022 |
| Certification Date | 02/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518558410 | NPI | - | NPPES |
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