Provider Demographics
NPI:1770791162
Name:THE CENTER FOR HEALTH AND WELL-BEING, P.C.
Entity type:Organization
Organization Name:THE CENTER FOR HEALTH AND WELL-BEING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROZANTINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:912-352-9500
Mailing Address - Street 1:400 COMMERCIAL CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3648
Mailing Address - Country:US
Mailing Address - Phone:912-352-9500
Mailing Address - Fax:912-352-9506
Practice Address - Street 1:400 COMMERCIAL CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3648
Practice Address - Country:US
Practice Address - Phone:912-352-9500
Practice Address - Fax:912-352-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002023103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA68BBFWFMedicare ID - Type Unspecified
GA26BDHLFMedicare ID - Type Unspecified
GAG79335Medicare UPIN
GA526374Medicare UPIN