Coastal Georgia Psychodynamic Center, Llc

LBN: Coastal Georgia Psychodynamic Center, Llc
Coastal Georgia Psychodynamic Center, Llc is an health care organization with primary practice located at 325 S Walnut St , Statesboro GA 30458-5418. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Coastal Georgia Psychodynamic Center, Llc can be contacted via phone (912) 421-9050, or through Rickard, Amanda via phone (912) 421-9050.

Contact Information

Primary practice address
325 S Walnut St Statesboro GA 30458-5418
Phone: (912) 421-9050
Fax: (912) 623-4918
Website:
Map and Directions
Authorized official contact:
Name: Rickard, Amanda
Phone: (912) 421-9050

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003907 Georgia

Profile Details

NPI number 1871033654
LBN Legal business name Coastal Georgia Psychodynamic Center, Llc
DBA Doing business as
Authorized official Rickard, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2017
Last updated May 11th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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