DEEPER WATERS COUNSELING NPI 1083544563

NPI Information

  • NPI: 1083544563
  • Provider Name: DEEPER WATERS COUNSELING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 9 NE PARK AVE
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 278-4739

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NPI Details

DEEPER WATERS COUNSELING is a mental health counselor in Baxley, GA. DEEPER WATERS COUNSELING NPI is 1083544563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9 NE PARK AVE
BAXLEY, GA
ZIP 31513-003
Phone: (912) 278-4739

The provider's authorized official is Angela Candace Thornton .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (912) 278-4739.

The enumeration date for this NPI number is 5/19/2026 and was last updated on 5/19/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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