NPI 1023801529

Madison Sports, LPC

Practitioner Mental Health Counselor Waycross, GA

Practice location

Address: 1003 Mary St, Waycross, GA 31503-3823
Phone: (912) 449-7100
Mailing address: 1007 Mary St, Waycross, GA 31503-3823

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Georgia →

Registry record

NPI: 1023801529
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2025
Record last updated: 27 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.