Provider Demographics
NPI:1235785817
Name:REWRITTEN COUNSELING
Entity Type:Organization
Organization Name:REWRITTEN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-571-5640
Mailing Address - Street 1:121 SHERWOOD FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-9226
Mailing Address - Country:US
Mailing Address - Phone:912-571-5640
Mailing Address - Fax:
Practice Address - Street 1:14 SAINT ANDREWS CT
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-6777
Practice Address - Country:US
Practice Address - Phone:912-571-5640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-10
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1053854521OtherNPPES
GA1194269704OtherNPPES
GA1497990337OtherNPPES