Provider Demographics
NPI:1841705779
Name:FAMILY MATTERS OF COASTAL GEORGIA, INC.
Entity type:Organization
Organization Name:FAMILY MATTERS OF COASTAL GEORGIA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCUE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-825-8488
Mailing Address - Street 1:88 LINDSEY LN STE C
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-1725
Mailing Address - Country:US
Mailing Address - Phone:912-825-8488
Mailing Address - Fax:912-341-6794
Practice Address - Street 1:605 OSBORNE STREET
Practice Address - Street 2:
Practice Address - City:SAINT MARY'S
Practice Address - State:GA
Practice Address - Zip Code:31558
Practice Address - Country:US
Practice Address - Phone:912-825-8488
Practice Address - Fax:912-341-6794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty