Provider Demographics
NPI:1093263972
Name:BROWNING, JIMMY HEATH (LPC, MAC, CBT, MRT)
Entity Type:Individual
Prefix:MR
First Name:JIMMY
Middle Name:HEATH
Last Name:BROWNING
Suffix:
Gender:M
Credentials:LPC, MAC, CBT, MRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-5385
Mailing Address - Country:US
Mailing Address - Phone:912-489-7590
Mailing Address - Fax:912-489-3877
Practice Address - Street 1:1100 BRAMPTON AVE STE N
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-0871
Practice Address - Country:US
Practice Address - Phone:912-266-9094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0089979101YM0800X
GALPC008979101YP2500X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional