Healthcare Provider Details

I. General information

NPI: 1659991214
Provider Name (Legal Business Name): EIGHT CRANES ACUPUNCTURE & COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 JOHNNY MERCER BLVD STE B2
SAVANNAH GA
31410-4924
US

IV. Provider business mailing address

51 JOHNNY MERCER BLVD STE B2
SAVANNAH GA
31410-4924
US

V. Phone/Fax

Practice location:
  • Phone: 912-349-2101
  • Fax:
Mailing address:
  • Phone: 912-349-2101
  • Fax: 912-480-9679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH HOUSE BRODHEAD
Title or Position: EMPLOYEE
Credential: LCSW
Phone: 912-349-2101