| Pivotal Moments Aba Llc | |
|
191 John Godley Ln Ellabell GA 31308-8076 | |
| (770) 870-0770 | |
| Not Available |
| Full Name | Pivotal Moments Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 191 John Godley Ln, Ellabell, Georgia |
| Authorized Official Name and Position | Corinne Brown (OWNER) |
| Authorized Official Contact | 7708700770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Moments Aba Llc 430 Northside Dr E, Ste 160 #335 Statesboro GA 30458 Ph: (770) 870-0770 | Pivotal Moments Aba Llc 191 John Godley Ln Ellabell GA 31308-8076 Ph: (770) 870-0770 |
| NPI Number | 1043016942 |
|---|---|
| Provider Enumeration Date | 02/21/2025 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043016942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Compassionate Counseling & Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Creekside Cir, Ellabell, GA 31308 Phone: 912-682-1383 Fax: 912-219-2285 |