Camden C & a

Organization Active NPI Mental Health Counselor · Kingsland, GA

NPI 1033428875 · NPPES record last updated Sep 28, 2010

Key facts

NPI
1033428875
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
CAMDEN C & A
Practice address
100 Mariners Dr
Suite D
Kingsland, GA 31548-6666
Phone
(912) 449-7111
Fax
(912) 449-7060
NPI assigned
Sep 28, 2010
Organization subpart
Yes
Parent organization (as reported)
SATILLA COMMUNITY SERVICES

Authorized official

Name
Glyn Thomas, PHD
Title
Deo
Phone
(912) 449-7103

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Supportive Employment (71 organizations share this tax ID)
Part of
Supportive Employment

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

100 Mariners Dr
Suite D
Kingsland, GA 31548-6666

Mailing address

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7111

Other providers in Kingsland, GA

All providers in Kingsland, GA · Mental Health Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.