Organization · Type 2 NPI
Southwestern State Hospital
Community/Behavioral Health Agency · Tifton, GA
Practice location
334 Tifton Eldorado Rd
Tifton, GA 31794-9497
Fax (229) 227-2955
Mailing address
400 South Pinetree Blvd. P. O. Box 1378, Patient Billing Dept
Thomasville, GA 31799-1378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 581130678 (GA) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
20 other providers at this address
- Behavioral Health Services of South GeorgiaCommunity/Behavioral Health Agency Tifton, GA NPI 1255875910
- Behavioral Health Services of South GeorgiaClinic Pharmacy Tifton, GA NPI 1679647473
- Behavioral Health Services of South GeorgiaCommunity/Behavioral Health Agency Tifton, GA NPI 1780758581
- Georgia Pines Community Service BoardCommunity/Behavioral Health Agency Tifton, GA NPI 1609216027
- South Georgia CSBCommunity/Behavioral Health Agency Tifton, GA NPI 1558457655
- Amanda L. Cofield, LCSWClinical Social Worker Tifton, GA NPI 1043844418
- Anne KohutkoProfessional Counselor Tifton, GA NPI 1790176519
- Bertram Vinson, RNRegistered Nurse Tifton, GA NPI 1780974741
- Chasity Michelle Myers, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Tifton, GA NPI 1376853911
- Daniel Jason Spratlin, LMSW, CADCIISocial Worker Tifton, GA NPI 1275090086
- Davina G. Samuel, LPCProfessional Counselor Tifton, GA NPI 1265976435
- Dola Tejaskumar Patel, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Tifton, GA NPI 1023607140
Other community/behavioral health agency providers in Tifton
- Behavioral Health Services of South GeorgiaCommunity/Behavioral Health Agency Tifton, GA NPI 1255875910
- South Georgia CSBCommunity/Behavioral Health Agency Tifton, GA NPI 1558457655
- Georgia Pines Community Service BoardCommunity/Behavioral Health Agency Tifton, GA NPI 1609216027
- Behavioral Health Services of South GeorgiaCommunity/Behavioral Health Agency Tifton, GA NPI 1780758581
About NPI 1720156508
Southwestern State Hospital's National Provider Identifier is 1720156508, issued on Dec 1, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tifton, GA. The record was last updated on Aug 18, 2009.