Family Recovery Of Southwest Georgia

LBN: Family Recovery Of Southwest Georgia
Family Recovery Of Southwest Georgia is an health care organization with primary practice located at 719 1St St Se , Moultrie GA 31768-5509. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Family Recovery Of Southwest Georgia can be contacted via phone (229) 456-2022, or through Marion, Samuel via phone (229) 456-2022.

Contact Information

Primary practice address
719 1St St Se Moultrie GA 31768-5509
Phone: (229) 456-2022
Fax: (912) 550-4909
Website:
Map and Directions
Authorized official contact:
Name: Marion, Samuel Licensed Clinical Social Worker (LCSW)
Phone: (229) 456-2022

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1134691496
LBN Legal business name Family Recovery Of Southwest Georgia
DBA Doing business as
Authorized official Marion, Samuel Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2018
Last updated Aug 4th, 2022 - about 2 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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