Provider Demographics
NPI:1659991214
Name:EIGHT CRANES ACUPUNCTURE & COUNSELING, LLC
Entity Type:Organization
Organization Name:EIGHT CRANES ACUPUNCTURE & COUNSELING, LLC
Other - Org Name:EIGHT CRANES ACUPUNCTURE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HOUSE
Authorized Official - Last Name:BRODHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:912-349-2101
Mailing Address - Street 1:51 JOHNNY MERCER BLVD STE B2
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-4924
Mailing Address - Country:US
Mailing Address - Phone:912-349-2101
Mailing Address - Fax:912-480-9679
Practice Address - Street 1:51 JOHNNY MERCER BLVD STE B2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-4924
Practice Address - Country:US
Practice Address - Phone:912-349-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty