Provider Demographics
NPI:1629455381
Name:AMERICANWORK, INC.
Entity Type:Organization
Organization Name:AMERICANWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:WAKEITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-658-1149
Mailing Address - Street 1:1727 WRIGHTSBORO RD STE B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-4049
Mailing Address - Country:US
Mailing Address - Phone:912-638-0350
Mailing Address - Fax:706-736-8184
Practice Address - Street 1:836 E 65TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4434
Practice Address - Country:US
Practice Address - Phone:912-354-4460
Practice Address - Fax:912-354-2259
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROVIDENCE SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-01
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000902063XMedicaid