Healthcare Provider Details

I. General information

NPI: 1790229805
Provider Name (Legal Business Name): RICHARD F GARRETT TRAUMA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 W LAMAR ST
AMERICUS GA
31709-3547
US

IV. Provider business mailing address

106 W LAMAR ST
AMERICUS GA
31709-3547
US

V. Phone/Fax

Practice location:
  • Phone: 229-942-6387
  • Fax:
Mailing address:
  • Phone: 229-942-6387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW001212
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD F GARRETT
Title or Position: OWNER
Credential: LCSW
Phone: 229-942-6387