Bishop-Collum, Stephanie Leigh

Bishop-Collum, Stephanie Leigh is an individual health care provider with primary practice located at 180 Water Oak Dr , Cedartown GA 30125-2095. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bishop-Collum, Stephanie Leigh can be contacted via phone (770) 748-2225.

Contact Information

Primary practice address
180 Water Oak Dr Cedartown GA 30125-2095
Fax: (770) 749-0939
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW002537 Georgia

Profile Details

NPI number 1326136508
LBN Legal business name Bishop-Collum, Stephanie Leigh
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 26th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326136508 NPPES
Georgia Other CSW002537 LICENSE

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