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Contact Information

SOUTHEASTERN HEALTH SERVICES, INC.
1624 FREDERICA RD
SUITE 3
SAINT SIMONS ISLAND, GA31522-2506
 Phone: 912-634-1677
 Fax: 912-634-1677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN HEALTH SERVICES, INC.

NPI # 1295955680
LBN Legal business name SOUTHEASTERN HEALTH SERVICES, INC.
Authorized official DEANNA HART - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
GA License # PSY001838
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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