Organization · Type 2 NPI

Georbea Enterprises LLC

Professional Counselor · Townsend, GA

NPI number 1336656578 Active

Practice location

15938 US Highway 17
Townsend, GA 31331-3706

Call (912) 342-2788 Map

Fax (877) 408-8199

Mailing address

1038 Breeze Way Ave NE
Townsend, GA 31331-6511

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	LPC008947 (GA)

Professional Counselor: Definition to come...

Another provider at this address

Aundra Simmons Vaughn, LPCProfessional Counselor Townsend, GA NPI 1376066365

NPI record

NPI: 1336656578
Entity type: Organization (Type 2)
Issued: Jan 9, 2018
Last updated: Dec 2, 2019
Status: Active
Subpart: Yes of Georbea Enterprises

Other names

<unavail>
Legacy Counseling Services · doing business as

Authorized official

Dr. Aundra Simmons Vaughn, LPC
Owner/provider
(912) 342-2788

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336656578

Georbea Enterprises LLC's National Provider Identifier is 1336656578, issued on Jan 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Townsend, GA. The record was last updated on Dec 2, 2019.