| Ogeechee Behavioral Health Services | |
| 223 North Anderson Drive Swainsboro GA 30401 | |
| (478) 289-2522 | |
| (478) 289-2544 | 
| Full Name | Ogeechee Behavioral Health Services | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 223 North Anderson Drive, Swainsboro, Georgia | 
| Authorized Official Name and Position | Amy A. Tribble (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 4782892522 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ogeechee Behavioral Health Services 223 North Anderson Drive P O Box 1259 Swainsboro GA 30401 Ph: (478) 289-2522 | Ogeechee Behavioral Health Services 223 North Anderson Drive Swainsboro GA 30401 Ph: (478) 289-2522 | 
| NPI Number | 1952451262 | 
|---|---|
| Provider Enumeration Date | 01/11/2007 | 
| Last Update Date | 08/18/2014 | 
| Medicare PECOS PAC ID | 0244212678 | 
|---|---|
| Medicare Enrollment ID | O20040601001048 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952451262 | NPI | - | NPPES | 
| 10061731 | Medicaid | GA | |
| 811848000 | Medicaid | GA | |
| 000606383B | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Provider Name | Lydia Lee Daley | 
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) | 
| Provider Identifiers | NPI Number: 1245385855 PECOS PAC ID: 9638351604 Enrollment ID: I20110311000546 | 
| Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2639 Fax: 478-289-2642 | |
| Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2639 | |
| Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2619 Fax: 478-289-2622 | |
| Emanuel Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 247 W Main St, Suite C, Swainsboro, GA 30401 Phone: 478-289-8147 | |
| Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2511 Fax: 478-289-2619 | |
| Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Riner Farm Rd, Swainsboro, GA 30401 Phone: 478-289-2635 Fax: 478-289-2545 | |
| Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Highway 56 South, Swainsboro, GA 30401 Phone: 478-289-2519 Fax: 478-289-2521 |