| Georgia Behavioral Services, LLC | |
|
104 Borders Way Ste 500 Warner Robins GA 31088-8967 | |
| (478) 352-0422 | |
| (888) 813-6815 |
| Full Name | Georgia Behavioral Services, LLC |
|---|---|
| Speciality | Counselor |
| Location | 104 Borders Way Ste 500, Warner Robins, Georgia |
| Authorized Official Name and Position | Darla Nicole Jackson (CEO) |
| Authorized Official Contact | 4783520422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Behavioral Services, LLC 104 Borders Way Ste 500 Warner Robins GA 31088-8967 Ph: (910) 689-5190 | Georgia Behavioral Services, LLC 104 Borders Way Ste 500 Warner Robins GA 31088-8967 Ph: (478) 352-0422 |
| NPI Number | 1861931172 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 3072845692 |
|---|---|
| Medicare Enrollment ID | O20191031002699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861931172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1083 (Georgia) | Primary |
| Provider Name | Wayne H Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578881538 PECOS PAC ID: 6608045604 Enrollment ID: I20110809000260 |
| Provider Name | Briana Manley-hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780168203 PECOS PAC ID: 6002244498 Enrollment ID: I20200318001160 |
| Provider Name | Brittany Flowers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699341479 PECOS PAC ID: 9335586650 Enrollment ID: I20240322000974 |
| Provider Name | Darla Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205233863 PECOS PAC ID: 3870825490 Enrollment ID: I20250912001364 |
| Provider Name | Marissa Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316537277 PECOS PAC ID: 5890278451 Enrollment ID: I20260311003053 |
| Provider Name | Anthony M Rucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407621048 PECOS PAC ID: 1759864317 Enrollment ID: I20260311003258 |
| Provider Name | Betty J James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629625223 PECOS PAC ID: 2769965334 Enrollment ID: I20260311003573 |
| Provider Name | Corbin B Horne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518602606 PECOS PAC ID: 2769965342 Enrollment ID: I20260311003874 |
| Provider Name | Katelyn Macneil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265132229 PECOS PAC ID: 7214410794 Enrollment ID: I20260312002333 |
| Provider Name | Jamie E Tillit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528612876 PECOS PAC ID: 0840773339 Enrollment ID: I20260312002436 |
| Provider Name | John C Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174001184 PECOS PAC ID: 3476026949 Enrollment ID: I20260625003181 |
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