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MCG EAP SERVICES INC. NPI 1700839735


NPI Information

NPI: 1700839735
Provider Name: MCG EAP SERVICES, INC.

Doing Business As: SOUTHERN BEHAVIORAL SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
179 PIERCE AVE
MACON, GA
ZIP 31204
Phone: (478) 742-1464
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MCG EAP SERVICES, INC. is a professional counselor in Macon, GA. MCG EAP SERVICES, INC. NPI is 1700839735. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Behavioral Services.

The provider's business location address is:

179 PIERCE AVE
MACON, GA
ZIP 31204-821
Phone: (478) 742-1464
Fax: (478) 742-1883

The provider's authorized official is Miona G Gordon .
The authorized official title is President and has the following contact phone number (478) 742-1464.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist000992GEORGIANo
2101YP2500XCounselorProfessional004182GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116537069AMEDICAIDGEORGIA

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: 4/28/2024

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