| Psychiatric and Counseling Services | |
|
303 Shirley Ave Ste A Douglas GA 31533-2367 | |
| (912) 383-8806 | |
| (912) 383-8147 |
| Full Name | Psychiatric and Counseling Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 303 Shirley Ave Ste A, Douglas, Georgia |
| Authorized Official Name and Position | Robert Bonds Tucker (CEO) |
| Authorized Official Contact | 2294689166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric and Counseling Services Po Box 749 Ocilla GA 31774-0749 Ph: (229) 468-9166 | Psychiatric and Counseling Services 303 Shirley Ave Ste A Douglas GA 31533-2367 Ph: (912) 383-8806 |
| NPI Number | 1295236503 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295236503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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