Provider Demographics
NPI:1477089282
Name:AMERICANWORK, LLC
Entity type:Organization
Organization Name:AMERICANWORK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:706-200-8677
Mailing Address - Street 1:1727 WRIGHTSBORO RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-4049
Mailing Address - Country:US
Mailing Address - Phone:706-736-8170
Mailing Address - Fax:706-736-8184
Practice Address - Street 1:330 N BROAD ST STE G
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-5100
Practice Address - Country:US
Practice Address - Phone:229-227-1117
Practice Address - Fax:229-227-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000902063AYMedicaid