Southeast Counseling Center LLC – Family Medicine Physician, NPI 1356829188

Southeast Counseling Center LLC is a healthcare provider. based in Vidalia, Georgia. specializing in Family Medicine Physician. The organization holds a License No. 124133 (GA). The NPI Number for Southeast Counseling Center LLC is 1356829188

Main info

Organization
Name
Southeast Counseling Center LLC
NPI
1356829188
Phone
(912) 577-5372
Address
506 1ST AVE
Authorized Official
DEBORAH STEWART PSYCHIATRIC NURSE PRACTITIONER DR.
Enumeration Date
2 August 2018
Last Update Date
2 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:7State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Southeast Counseling Center LLC

  • 506, 1st Avenue, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304743713

    Phone: (912) 577-5372

    Type: Location

  • 229 LaRue Ln

    Collins, GA 304216638

    Phone: (912) 577-5372

    Type: Location

  • River Lane, Collins, Town of Rockland, Manitowoc County, Wisconsin, 53014, United States

    COLLINS, GA 304216638

    Phone: (912) 577-5372

    Type: Mailing

  • 229 LARUE LN

    COLLINS, GA 304216638

    Phone: (912) 577-5372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30474)

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Reviews

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Frequently asked questions

Can I use this page to confirm Southeast Counseling Center LLC's NPI?
Yes. Southeast Counseling Center LLC is listed with NPI 1356829188 in the public NPI dataset.
Is Southeast Counseling Center LLC still practicing?
Southeast Counseling Center LLC is currently listed as active in the public NPI registry.
What is Southeast Counseling Center LLC's primary classification?
Family Medicine Physician is the headline specialty for Southeast Counseling Center LLC here. Clinical services aligned with this taxonomy classification.
What address line appears for Southeast Counseling Center LLC?
Southeast Counseling Center LLC's geographic hint is Vidalia, Georgia in our summary view.
Why does Southeast Counseling Center LLC have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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