Allen, Stanley Michael Eugene
Allen, Stanley Michael Eugene is an sole proprietor health care provider with primary practice located at 1770 Indian Trail Rd Suite 200, Norcross GA 30093-2645. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Stanley Michael Eugene can be contacted via phone (770) 923-9200.Contact Information
Primary practice address
1770 Indian Trail Rd Suite 200
Norcross GA 30093-2645
Phone: (770) 923-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW000707 | Georgia |
Profile Details
| NPI number | 1023179116 |
|---|---|
| LBN Legal business name | Allen, Stanley Michael Eugene |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jan 11th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023179116 | NPPES |
| Georgia | MEDICAID | 032860193A |
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