Healthcare Provider Details

I. General information

NPI: 1164350773
Provider Name (Legal Business Name): TIMOTHY ALEXANDER STRICKLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MALL BLVD STE 101D
SAVANNAH GA
31406-4863
US

IV. Provider business mailing address

327 HARVEYTOWN RD
PEMBROKE GA
31321-7012
US

V. Phone/Fax

Practice location:
  • Phone: 912-515-5026
  • Fax:
Mailing address:
  • Phone: 912-515-5026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: