Southern Oaks Counseling, Llc

LBN: Southern Oaks Counseling, Llc
Southern Oaks Counseling, Llc is an health care organization with primary practice located at 2128 Circular Dr , Augusta GA 30906-2808. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Southern Oaks Counseling, Llc can be contacted via phone (706) 312-6761, or through Pritchett, Tasha Andrea via phone (253) 988-7536.

Contact Information

Primary practice address
2128 Circular Dr Augusta GA 30906-2808
Phone: (706) 312-6761
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pritchett, Tasha Andrea Licensed Clinical Social Worker (LCSW)
Phone: (253) 988-7536

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005614 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11376 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005535 Georgia

Profile Details

NPI number 1861878126
LBN Legal business name Southern Oaks Counseling, Llc
DBA Doing business as
Authorized official Pritchett, Tasha Andrea Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2015
Last updated Dec 2nd, 2015 - about 10 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 1861878126 NPPES
Georgia MEDICAID 003163121A

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