Healthcare Provider Details

I. General information

NPI: 1821761461
Provider Name (Legal Business Name): SAVANNAH COUNSELING & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 07/29/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 GOEBEL AVE
SAVANNAH GA
31404-2421
US

IV. Provider business mailing address

2126 E VICTORY DR # 316
SAVANNAH GA
31404-3918
US

V. Phone/Fax

Practice location:
  • Phone: 912-231-5221
  • Fax:
Mailing address:
  • Phone: 912-231-5221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL HARRIS
Title or Position: THERAPIST/OWNER
Credential: LPC, NCC
Phone: 912-231-5221