MEDICARE: SAVANNAH AREA BEHAVIORAL HEALTH COLLABORTIVE

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	251S00000X	Community/Behavioral Health Agency	MSW003465	GA
2	104100000X	Social Worker	MSW003465	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	GRP6473	OTHER	GA	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568489904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVANNAH AREA BEHAVIORAL HEALTH COLLABORTIVE

Provider Business Mailing Address
First Line	:	17 MINUS AVENUE
Second Line	:
City	:	GARDEN CITY
State	:	GA
Zip	:	31408-2006
Country	:	US
Telephone Number	:	912-966-3782
Fax Number	:	912-963-2532

Provider Business Practice Location Address
First Line	:	17 MINIS AVE
Second Line	:
City	:	GARDEN CITY
State	:	GA
Zip	:	31408-2006
Country	:	US
Telephone Number	:	912-966-3782
Fax Number	:	912-963-2532

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. JACQUILIN REYNOLDS
Credential	:	JD
Telephone Number	:	912-966-3782

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	07/11/2008

Similar Medicare Providers

1164403028 — DR. STEVEN KLEIN MD
Practice Location Address:

1401 ROBERT B MILLER JR RD
GARDEN CITY, GA
31408-9001

Practice Phone: 912-966-8222
Practice Fax: 912-966-8593

1750342192 — DAVID B BRADLEY OPTOMETRIST PC
Practice Location Address:

22 HARRELL DR
GARDEN CITY, GA
31408-2005

Practice Phone: 912-964-0483
Practice Fax: 912-964-0488

1538127089 — GRIFFIN HOME HEALTH CARE INC
Practice Location Address:

3911 OLD LOUISVILLE RD STE 105
GARDEN CITY, GA
31408-2622

Practice Phone: 912-421-5185
Practice Fax: 912-964-7110

1558394627 — DR. MARIA KRICHEVER M.D.
Practice Location Address:

109 MINIS AVE , SUITE C-10
GARDEN CITY, GA
31408-2128

Practice Phone: 912-966-5445
Practice Fax: 912-966-5955

1235155987 — CANDLER MEDICAL GROUP, INC. - GARDEN CITY HEALTH CENTER
Practice Location Address:

4704 AUGUSTA RD
GARDEN CITY, GA
31408-1727

Practice Phone: 912-966-2366
Practice Fax: 912-964-0594

1689786493 — BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
Practice Location Address:

113 MINUS AVE
GARDEN CITY, GA
31408-2119

Practice Phone: 912-965-0305
Practice Fax: 912-965-0501

Directions to “SAVANNAH AREA BEHAVIORAL HEALTH COLLABORTIVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.