Organization · NPI-2
Behavioral Health Services Of South Georgia
Community/Behavioral Health · Tifton, GA
NPI number1780758581
StatusActive
Last updated in NPPESOct 6, 2025
Details
- NPI
- 1780758581
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Health Services Of South Georgia
- Organization subpart
- No
- Enumeration date
- Nov 20, 2006
- Certification date
- Oct 6, 2025
- Last updated
- Oct 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Tift Adult Outpatient Services (Doing Business As)
- Legacy Behavioral Health Services (Doing Business As)
Practice location
334 Tifton Eldorado RdTifton, GA 31794-9497
Phone 229-391-2301 · Fax 229-386-3221
Mailing address
3120 N Oak Street Ext Ste CValdosta, GA 31602-5910
Phone 229-671-6100
Authorized official
Jane B. Stephens
Chief Financial Officer
2296716108
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