Ogeechee Behavioral Health Services
Organization Active NPI Community/Behavioral Health Agency · Waynesboro, GA
NPI 1194055046 · NPPES record last updated Dec 28, 2009
Key facts
- NPI
- 1194055046
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- OGEECHEE BEHAVIORAL HEALTH SERVICES
- Practice address
- 566 Hwy 25 S
Waynesboro, GA 30830-5545 - Phone
- (706) 437-6854
- NPI assigned
- Dec 28, 2009
- Organization subpart
- No
Authorized official
- Name
- Victoria Richbourg, LPC
- Title
- Executive Director
- Phone
- (478) 289-2522
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Ogeechee Behavioral Health Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
566 Hwy 25 S
Waynesboro, GA 30830-5545
Mailing address
223 N Anderson Dr
P O Box 1259
Swainsboro, GA 30401-4440
Phone (478) 289-2522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000709288Q | Medicaid | GA |
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- Ogeechee Behavioral Health Services
- Ogeechee Behavioral Health Services
- Ogeechee Behavioral Health Services
- Ogeechee Behavioral Health Services
- Sonya Latrelle Owens
All providers in Waynesboro, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.