Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Recovery of Southwest Georgia

Organization Professional Counselor · NPI 1134691496

Family Recovery of Southwest Georgia is a Professional Counselor in Moultrie, Georgia. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

719 1st St SE
Moultrie, GA 31768-5509
Phone: (229) 456-2022
Fax: (912) 550-4909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1134691496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Marion — Managing Director · (229) 456-2022
NPI enumeratedDecember 27, 2018
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address115 E Main St Ste A1b-8l, Buford, GA 30518-5727

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