Bagley, Adam Davis

Bagley, Adam Davis is an individual health care provider with primary practice located at 24 Waleska St Ste 100 , Canton GA 30114-2739. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bagley, Adam Davis can be contacted via phone (470) 253-7252.

Contact Information

Primary practice address
24 Waleska St Ste 100 Canton GA 30114-2739
Phone: (470) 253-7252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001240 Georgia

Profile Details

NPI number 1639430069
LBN Legal business name Bagley, Adam Davis
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Jun 1st, 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.

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