BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
NPI 1396810412
Clinic/Center - Adolescent and Children Mental Health in Valdosta, GA

Q: What is Behavioral Health Services Of South Georgia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since November 22, 2006

3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602(229) 671-6164(229) 671-6750 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Mar 31, 2020 (2 updates tracked since 2020).

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About Behavioral Health Services Of South Georgia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA (NPI 1396810412), doing business as Legacy Behavioral Health Services, is a healthcare organization registered as an adolescent and children mental health in Valdosta, Georgia and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Valdosta and lists Jane B. Stephens, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1396810412

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameBEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA

Location Address3120 N OAK STREET EXT STE BValdosta, GA 31602-5910

Mailing Address3120 N Oak Street Ext Ste CValdosta, GA 31602-5910 · (229) 671-6100

Phone(229) 671-6164

Fax(229) 671-6750

Organization SubpartNo

Authorized OfficialJane B. StephensChief Financial Officer · (229) 671-6108

Enumeration DateNovember 22, 2006

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1396810412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

3120 N OAK STREET EXT STE B, Valdosta, GA 31602

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Other Names 2

Doing Business AsLegacy Behavioral Health Services

Doing Business AsLowndes C&a Outpatient Clinic

Secondary Practice Location 1

Location 13120 N Oak Street Ext Ste EValdosta, GA 31602-5910 · Phone (229) 671-6150

Other Identifiers 1

Medicaid000742475MGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN GAYLE GOIN LPC

Counselor (Mental Health)