Alexander, Mary Blaydes

Alexander, Mary Blaydes is an sole proprietor health care provider with primary practice located at 200 E Memorial Dr Suite 6, Dallas GA 30132-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Alexander, Mary Blaydes can be contacted via phone (770) 505-1431.

Contact Information

Primary practice address
200 E Memorial Dr Suite 6 Dallas GA 30132-3811
Phone: (770) 505-1431
Fax: (770) 505-1431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003206 Georgia

Profile Details

NPI number 1225162555
LBN Legal business name Alexander, Mary Blaydes
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Mar 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225162555 NPPES
Georgia MEDICAID 795105989A

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