Healthcare Provider Details

I. General information

NPI: 1710630124
Provider Name (Legal Business Name): AMERICANWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1928 MONTGOMERY CROSSROADS
SAVANNAH GA
31406-5037
US

IV. Provider business mailing address

1727 WRIGHTSBORO RD STE B
AUGUSTA GA
30904-4049
US

V. Phone/Fax

Practice location:
  • Phone: 912-349-4832
  • Fax:
Mailing address:
  • Phone: 706-836-8170
  • Fax: 706-736-8184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

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