McLaulin Practice LLC
Organization Active NPI Adult Mental Health Clinic/Center · Waverly, GA
NPI 1366865719 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1366865719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- 022248 (GA)
- Legal business name
- MCLAULIN PRACTICE LLC
- Practice address
- 283 Milton LN
Waverly, GA 31565-1931 - Phone
- (215) 284-8434
- NPI assigned
- Jan 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. John Bryce McLaulin, M. D.
- Title
- Owner
- Phone
- (215) 284-8434
Practitioners 3
-
Robert E Holland, M.D.
-
Wendy Levitt Steele, LCSW
-
Mark Ryan Wylie, FNP
National Provider Directory
Locations
106 Shoppers Way
Ste 115
Brunswick, GA 31525
Phone (912) 265-7660
2318 Heron St
Brunswick, GA 31520
Phone (912) 265-7660
202 Lakeshore Dr
Ste C
Saint Marys, GA 31558
Phone (912) 882-5515
1712 Osborne Rd
Ste A
Saint Marys, GA 31558
Phone (912) 882-5515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 022248 | GA | Yes |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 022248 | GA |
Addresses
Primary practice location
283 Milton LN
Waverly, GA 31565-1931
Mailing address
283 Milton LN
Waverly, GA 31565-1931
Phone (215) 284-8434
Other providers in Waverly, GA
- Robert Brant
- Gateway Behavioral Health Services
- Ansley Caroline Harter
- Donna Renee Harvey
- Wendy Montague
- Other Side of Play LLC
- Garrison Rose
- Steps to Healing Counseling and Consulting Services
- Casey Tuell
All providers in Waverly, GA · Adult Mental Health Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. 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.