Two Rivers Counseling and Psychological Services, LLC

NPI #1376158360 in Midway, Georgia

Provider Information

NPI Number: 1376158360
Entity Type: Organization
Organization Name: Two Rivers Counseling and Psychological Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 15, 2020
Last Updated: Sep 15, 2020

Practice Location

Address: 72 BONNIE REED PSGE
City: Midway
State: Georgia
ZIP Code: 31320-4925
Phone: (912) 421-4432

Authorized Official

Name: DR. JEREMY LORMIS, PHD, LPC
Title: DIRECTOR
Phone: (912) 980-5074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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