| Tybee Counseling Services | |
|
100 Blue Fin Cir Ste 4 Savannah GA 31410-2463 | |
| (912) 373-6789 | |
| (912) 257-4413 |
| Full Name | Tybee Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 100 Blue Fin Cir Ste 4, Savannah, Georgia |
| Authorized Official Name and Position | Kelli Littlefield (LPC) |
| Authorized Official Contact | 9123736789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tybee Counseling Services Po Box 1814 Tybee Island GA 31328-1814 Ph: (912) 373-6789 | Tybee Counseling Services 100 Blue Fin Cir Ste 4 Savannah GA 31410-2463 Ph: (912) 373-6789 |
| NPI Number | 1275068223 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 11/12/2019 |
| Medicare PECOS PAC ID | 9133559289 |
|---|---|
| Medicare Enrollment ID | O20200414000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275068223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 007122 (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Kimberley A Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396046777 PECOS PAC ID: 9638358617 Enrollment ID: I20130717000598 |
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