| The Eupatheia Center Inc | |
|
664 Scranton Rd Ste 201 Brunswick GA 31520-1947 | |
| (912) 285-1610 | |
| (912) 285-2595 |
| Full Name | The Eupatheia Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 664 Scranton Rd Ste 201, Brunswick, Georgia |
| Authorized Official Name and Position | Brendan Clark Engen (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9128160076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Eupatheia Center Inc 664 Scranton Rd Ste 201 Brunswick GA 31520-1947 Ph: (912) 285-1610 | The Eupatheia Center Inc 664 Scranton Rd Ste 201 Brunswick GA 31520-1947 Ph: (912) 285-1610 |
| NPI Number | 1306010954 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 6507920675 |
|---|---|
| Medicare Enrollment ID | O20090204000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306010954 | NPI | - | NPPES |
| 10032838 | Other | GA | AMERIGROUP |
| 524588165A | Medicaid | GA | |
| 000577585G | Medicaid | GA | |
| 085726452A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brendan C Engen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164558904 PECOS PAC ID: 2961566047 Enrollment ID: I20090204000533 |
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