Bass, Raelynn L.

Bass, Raelynn L. is an sole proprietor health care provider with primary practice located at 881 Ponce De Leon Ave Ne Suite #8, Atlanta GA 30306-4252. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bass, Raelynn L. can be contacted via phone (404) 808-7919.

Contact Information

Primary practice address
881 Ponce De Leon Ave Ne Suite #8 Atlanta GA 30306-4252
Phone: (404) 808-7919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC008217 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC008217 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LPC008217 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC008217 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008217 Georgia

Profile Details

NPI number 1245643964
LBN Legal business name Bass, Raelynn L.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2014
Last updated Oct 12th, 2016 - about 9 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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