IndividualActive
Audrey Green-Campbell
NPI 1649332644 · Professional Counselor · Tifton, GA
Provider details
- NPI number
- 1649332644
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC009467 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
224 Central Ln
Tifton, GA 31794-4423
Phone: (804) 869-1096
Approximate (ZIP-level) locationGet directions
Mailing address
2823 Rainwater Rd
Tifton, GA 31793-5700
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2023-12-09
- Certified
- 2023-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.