MEDICARE: HELENE M TAULBEE AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	AMFT000673	GA

General Provider Information

NPI Number	:	1568057446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELENE M TAULBEE AMFT

Provider Business Mailing Address
First Line	:	2797 BLUES REACH RD SW
Second Line	:
City	:	TOWNSEND
State	:	GA
Zip	:	31331-6416
Country	:	US
Telephone Number	:	912-432-3765
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 S COASTAL HWY
Second Line	:
City	:	MIDWAY
State	:	GA
Zip	:	31320-5231
Country	:	US
Telephone Number	:	912-884-4440
Fax Number	:	912-884-4441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2021
Last Update Date	:	03/03/2021

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Directions to “ HELENE M TAULBEE AMFT” Practice Location

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