Provider Demographics
NPI:1346570694
Name:LOW COUNTRY COUNSELING
Entity Type:Organization
Organization Name:LOW COUNTRY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MAMALAKIS
Authorized Official - Last Name:EPTING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MAC
Authorized Official - Phone:912-507-8576
Mailing Address - Street 1:10 CHESTLEY PL
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4200
Mailing Address - Country:US
Mailing Address - Phone:912-507-8576
Mailing Address - Fax:
Practice Address - Street 1:10 CHESTLEY PL
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4200
Practice Address - Country:US
Practice Address - Phone:912-507-8576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-09
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005849101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty