Blackwood, Grace M
Blackwood, Grace M is an sole proprietor health care provider with primary practice located at 570 Windsor Way , Fairburn GA 30213-6446. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blackwood, Grace M can be contacted via phone (770) 365-3140.Contact Information
Primary practice address
570 Windsor Way
Fairburn GA 30213-6446
Phone: (770) 365-3140
Fax: (770) 703-7915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC004495 | Georgia |
Profile Details
| NPI number | 1104071133 |
|---|---|
| LBN Legal business name | Blackwood, Grace M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2008 |
| Last updated | Jan 26th, 2016 - about 8 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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