| Family Matters Of Coastal Georgia, Inc. | |
|
605 Osborne Street Saint Mary's GA 31558 | |
| (912) 825-8488 | |
| (912) 341-6794 |
| Full Name | Family Matters Of Coastal Georgia, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 605 Osborne Street, Saint Mary's, Georgia |
| Authorized Official Name and Position | Molly Mccue (THERAPIST) |
| Authorized Official Contact | 9128258488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Matters Of Coastal Georgia, Inc. 88 Lindsey Ln Ste C Saint Marys GA 31558-1725 Ph: (912) 825-8488 | Family Matters Of Coastal Georgia, Inc. 605 Osborne Street Saint Mary's GA 31558 Ph: (912) 825-8488 |
| NPI Number | 1841705779 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Medicare PECOS PAC ID | 9931505294 |
|---|---|
| Medicare Enrollment ID | O20210913000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841705779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kellie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946150 PECOS PAC ID: 2062756562 Enrollment ID: I20181211001639 |
| Provider Name | Earl S. Avant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760532402 PECOS PAC ID: 8224436175 Enrollment ID: I20211007002298 |
| Provider Name | Whitney Burkhalter Bounds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528791555 PECOS PAC ID: 9436523479 Enrollment ID: I20230315000374 |
| Provider Name | Molly B. Mccue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811980519 PECOS PAC ID: 8022367879 Enrollment ID: I20240221002784 |