Provider Demographics
NPI:1477114437
Name:ARETE BEHAVIORAL HEALTH CORP
Entity Type:Organization
Organization Name:ARETE BEHAVIORAL HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHONTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-882-7383
Mailing Address - Street 1:708 OSBORNE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-8497
Mailing Address - Country:US
Mailing Address - Phone:912-882-7383
Mailing Address - Fax:855-727-4931
Practice Address - Street 1:708 OSBORNE ST STE 104
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-8497
Practice Address - Country:US
Practice Address - Phone:912-882-7383
Practice Address - Fax:855-727-4931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003211882BMedicaid