Provider Demographics
NPI:1881071538
Name:AMERICANWORK, INC
Entity type:Organization
Organization Name:AMERICANWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-638-0350
Mailing Address - Street 1:507 OCEAN BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-4824
Mailing Address - Country:US
Mailing Address - Phone:912-638-0350
Mailing Address - Fax:912-638-9030
Practice Address - Street 1:836 E 65TH ST
Practice Address - Street 2:SUITE 16
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:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000902063XMedicaid