Provider Demographics
NPI:1700058682
Name:ACCESS MENTAL HEALTH
Entity type:Organization
Organization Name:ACCESS MENTAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL STAFF MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-356-1095
Mailing Address - Street 1:6409 ABERCORN ST
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5715
Mailing Address - Country:US
Mailing Address - Phone:912-356-1095
Mailing Address - Fax:
Practice Address - Street 1:6409 ABERCORN ST
Practice Address - Street 2:SUITE B-2
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5715
Practice Address - Country:US
Practice Address - Phone:912-356-1095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005603251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health