Healthcare Provider Details

I. General information

NPI: 1477114437
Provider Name (Legal Business Name): ARETE BEHAVIORAL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 OSBORNE ST STE 104
SAINT MARYS GA
31558-8497
US

IV. Provider business mailing address

708 OSBORNE ST STE 104
SAINT MARYS GA
31558-8497
US

V. Phone/Fax

Practice location:
  • Phone: 912-882-7383
  • Fax: 855-727-4931
Mailing address:
  • Phone: 912-882-7383
  • Fax: 855-727-4931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHONTA HARPER
Title or Position: COUNSELOR
Credential: LPC
Phone: 912-882-7383