PSYCHIATRIC AND COUNSELING SERVICES – NPI #1295236503
Clinic/Center

PSYCHIATRIC AND COUNSELING SERVICES is an AHC clinic located in DOUGLAS, GA. NPPES has assigned the NPI number 1295236503 to PSYCHIATRIC AND COUNSELING SERVICES on February 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PSYCHIATRIC AND COUNSELING SERVICES” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL PRIMARY CARE CENTER, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Nov 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PSYCHIATRIC AND COUNSELING SERVICES below.

NPI Profile for
SOUTH CENTRAL PRIMARY CARE CENTER, INC

NPI Number
1295236503
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Doing Business As (dba): PSYCHIATRIC AND COUNSELING SERVICES
Primary location
303 SHIRLEY AVE STE A
DOUGLAS, GA 31533-2367
Phone: (912) 383-8806 Fax: (912) 383-8147
Mailing address
PO BOX 749
OCILLA, GA 31774-0749
Phone: (229) 468-9166 Fax: (229) 468-9188
Organization Subpart
No
Authorized Official
ROBERT TUCKER
CEO
Phone: (229) 468-9166
Updated
Certification Date
Nov 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.