Springhealth Behavioral Health and Integrated Care Georgia, LLC

NPI #1316350457 in Valdosta, Georgia

Provider Information

NPI Number: 1316350457
Entity Type: Organization
Organization Name: Springhealth Behavioral Health and Integrated Care Georgia, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 6, 2014
Last Updated: Dec 17, 2020

Practice Location

Address: 1705 RIVER ST
City: Valdosta
State: Georgia
ZIP Code: 31601
Phone: (502) 297-0133

Authorized Official

Name: TYLER WHOBREY
Title: PROVIDER ENROLLMENT
Phone: (502) 630-7249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Behavior Analyst	103K00000X	Primary

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