SOUTHEASTERN COUNSELING CENTER, INC. (NPI# 1144555202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144555202 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN COUNSELING CENTER, INC. |
| Practice Address |
812 Towne Park Dr., Unit 400 Rincon GA 31326-0667 |
| Mailing Address |
P.o. Box 667 Rincon GA 31326-0667 |
| Practice Telephone | 9128261145 |
| Practice Fax Number | 9128261245 |
| Mailing Telephone | 9128261145 |
| Mailing Fax Number | 9128261245 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | MRS. TERESA LYNN OGLESBEE (THERAPIST/OWNER) |
| Authorized Official Telephone | 9128261145 |
| Authorized Official Credential | ED.S.,NBCC,LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004615 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MAGELLAN | 600030703 | 01 |
| Street Address |
812 TOWNE PARK DR., UNIT 400 |
| City | RINCON |
| State | GA |
| Zip Code | 31326-0667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1174045322 | Katelyn Dodsworth Sundin | Dentist | 5871 Ga-21 S, Rincon, GA 31326 | 2017-07-10 |
| 1861943284 | Covenant Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Goshen Commercial Park Dr., Rincon, GA 31326 | 2016-10-20 |
| 1013465681 | Aaron D. Webb | Nurse Practitioner | 423 S Columbia Avenue, Rincon, GA 31326 | 2016-09-13 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1982065652 | Shronda Bowman | Specialist | 1214n Columbia Ave, Unit B, Rincon, GA 31326 | 2016-03-09 |
| 1306202890 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 461 S Columbia Ave, Rincon, GA 31326 | 2016-01-13 |
| 1053628255 | Jennifer Erin Creech | Dentist | 429 S Columbia Ave, Rincon, GA 31326 | 2010-09-09 |
| 1548596737 | Rincon Medical Center | Clinic/Center | 119 Chimney Road, Rincon, GA 31326 | 2009-10-23 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| Find all providers in zip 31326 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1083071385 | Family and Children Support, Inc | Counselor | 1115 N Columbia Ave, Unit 4, Rincon, GA 31326-6825 | 2016-01-19 |
| 1447654884 | Michael Chambless | Counselor | 108 International Dr, Rincon, GA 31326-3934 | 2014-10-14 |
| 1457603383 | The New Breath Counseling Center, Inc | Counselor | 219 N Columbia Ave, Rincon, GA 31326-6810 | 2012-10-02 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1407906985 | Gina N Farrell | Counselor | 272 S. Columbia Ave, Rincon, GA 31326 | 2007-01-10 |
| 1184782385 | Teresa Lynn Oglesbee | Counselor | 812 Towne Park Dr, Unit 400, Rincon, GA 31326-9362 | 2006-12-04 |
| 1972583961 | Julia Cochran | Counselor | 207 S Columbia Ave, Suite B, Rincon, GA 31326-9027 | 2006-01-18 |
| 1912551110 | Justin Trifon | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326-5569 | 2019-07-26 |
| Find all providers in RINCON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.