Healthcare Provider Details

I. General information

NPI: 1033367750
Provider Name (Legal Business Name): AMERICANWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2008
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 DRUID PARK AVE
AUGUSTA GA
30904-5723
US

IV. Provider business mailing address

1727 WRIGHTSBORO RD STE B
AUGUSTA GA
30904-4049
US

V. Phone/Fax

Practice location:
  • Phone: 706-364-9037
  • Fax: 706-364-9096
Mailing address:
  • Phone: 912-638-0350
  • Fax: 706-736-8170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK WATERS
Title or Position: STATE DIRECTOR
Credential: LCSW
Phone: 706-200-8677