Good Samaritan Behavioral Health, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007063 Issued in GA

Legal business name

GOOD SAMARITAN BEHAVIORAL HEALTH, INC.

Practice address

138 Canal St
Unit 307
Pooler, GA 31322-4051

Phone

(912) 348-3486

Fax

(912) 348-3489

NPI assigned

Aug 31, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deirdre Anderson-White, PH.D., LPCNPI 1447627906

Title

Executive Director

Phone

(912) 348-3486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deirdre Anderson-White, PH.D., LPC

  • Professional Counselor
  • Pooler, GA
  • NPI 1447627906
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1851768329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CANAL ST",
            "address_2": "UNIT 307",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224051",
            "telephone_number": "912-348-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CANAL ST",
            "address_2": "UNIT 307",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224051",
            "telephone_number": "912-348-3486",
            "fax_number": "912-348-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-WHITE",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-348-3486",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Gilmore
• Roosevelt Givens IV
• John Paul Gleason, M.D.
• Kathleen Glover, RBT
• Jean Marie Goldthwait, LMSW
• Mercedes Goodacre
• Bradley Gordon
• Alfred Carl Gorman Sr., M.D.
• Ella Grace Gossett
• Tereeka Green

• Professional Counselor in Pooler, GA
• Providers in Pooler, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.