Ball, Tabitha Delaina

Ball, Tabitha Delaina is an sole proprietor health care provider with primary practice located at 1001 Virginia Ave Ste 210 , Hapeville GA 30354-1367. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Ball, Tabitha Delaina can be contacted via phone (404) 218-8657.

Contact Information

Primary practice address
1001 Virginia Ave Ste 210 Hapeville GA 30354-1367
Phone: (404) 218-8657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810004529 Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003839 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY003839 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1710212196
LBN Legal business name Ball, Tabitha Delaina
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2009
Last updated Sep 28th, 2021 - about 3 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 1710212196 NPPES
Georgia MEDICAID 003183738C

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