Provider Demographics
NPI:1538204086
Name:BARNABAS CENTER FOR COUNSELING
Entity type:Organization
Organization Name:BARNABAS CENTER FOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:NIAGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:912-352-7638
Mailing Address - Street 1:PO BOX 16830
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-3530
Mailing Address - Country:US
Mailing Address - Phone:912-352-7638
Mailing Address - Fax:912-352-7492
Practice Address - Street 1:1 OGLETHORPE PROFESSIONAL BLVD STE 205
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4874
Practice Address - Country:US
Practice Address - Phone:912-352-7638
Practice Address - Fax:912-352-7492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000973101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty