Tift Adult Outpatient Services

LBN: Behavioral Health Services Of South Georgia
Tift Adult Outpatient Services is an health care organization with primary practice located at 334 Tifton Eldorado Rd , Tifton GA 31794-9497. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Behavioral Health Services Of South Georgia can be contacted via phone (229) 391-2301, or through Huling, William F. via phone (229) 671-6140.

Contact Information

Primary practice address
334 Tifton Eldorado Rd Tifton GA 31794-9497
Phone: (229) 391-2301
Fax: (229) 386-3221
Website:
Map and Directions
Authorized official contact:
Name: Huling, William F. CPA
Phone: (229) 671-6140

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1780758581
LBN Legal business name Behavioral Health Services Of South Georgia
DBA Doing business as Tift Adult Outpatient Services
Authorized official Huling, William F. CPA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Nov 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780758581 NPPES
Georgia MEDICAID 000742475O

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