Cord of Three Counseling Services, Inc.
Organization Active NPI Community/Behavioral Health Agency · Patterson, GA
NPI 1316230899 · NPPES record last updated May 17, 2011
Key facts
- NPI
- 1316230899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 004088 (GA)
- Legal business name
- CORD OF THREE COUNSELING SERVICES, INC.
- Practice address
- 5920 Reese St
Patterson, GA 31557-5131 - Phone
- (912) 282-0992
- Fax
- (912) 647-0510
- NPI assigned
- May 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Clay D. Gill, LPC
- Title
- Executive Director
- Phone
- (912) 282-0992
Practitioners 3
-
Clay Dexter Gill, LPC
-
Sara McArthur, PHD, ABPP
-
Stefany Raye Morgan, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 004088 | GA | Yes |
Addresses
Primary practice location
5920 Reese St
Patterson, GA 31557-5131
Mailing address
PO Box 151
Patterson, GA 31557-0151
Phone (912) 282-0992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003104129A | Medicaid | GA |
Other providers in Patterson, GA
- Bacon Co. Health Services, Inc.
- Boobil, LLC
- Clay Dexter Gill
- Cierra E Graves
- Sara McArthur
- Stefany Raye Morgan
- Patterson Pharmacare, Inc.
All providers in Patterson, 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 May 17, 2011. 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.