Brawner, Patricia Sparks
Brawner, Patricia Sparks is an sole proprietor health care provider with primary practice located at 1751 So. Lumpkin St. , Athens GA 30606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brawner, Patricia Sparks can be contacted via phone (706) 552-2820.Contact Information
Primary practice address
1751 So. Lumpkin St.
Athens GA 30606
Phone: (706) 552-2820
Fax: (706) 354-8904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1719 | Georgia |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1719 | Georgia |
Profile Details
NPI number | 1871582015 |
---|---|
LBN Legal business name | Brawner, Patricia Sparks |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 20th, 2005 |
Last updated | Apr 22nd, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871582015 | NPPES |
Georgia | MEDICAID | 00624753B |
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