| Lisa Futch | |
|
1026 Blount Crossing Rd Se Darien GA 31305-3300 | |
| (478) 494-2052 | |
| Not Available |
| Full Name | Lisa Futch |
|---|---|
| Speciality | Counselor |
| Location | 1026 Blount Crossing Rd Se, Darien, Georgia |
| Authorized Official Name and Position | Lisa Futch (PRESIDENT) |
| Authorized Official Contact | 4784942052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Futch 1026 Blount Crossing Rd Se Darien GA 31305-3300 | Lisa Futch 1026 Blount Crossing Rd Se Darien GA 31305-3300 Ph: (478) 494-2052 |
| NPI Number | 1134792435 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134792435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| 101YS0200X | Counselor - School | () | Secondary |
Darien Women's Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 North Way Ste E, Darien, GA 31305 Phone: 912-437-2442 |
Gateway Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 251 West Industrial Pkwy, Darien, GA 31305 Phone: 912-437-7300 Fax: 912-437-9481 |