Brechtel, Mark Franklin
Brechtel, Mark Franklin is an sole proprietor health care provider with primary practice located at 1 Huntington Rd Ste 103, Athens GA 30606-7204. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Brechtel, Mark Franklin can be contacted via phone (706) 369-0970.Contact Information
Primary practice address
1 Huntington Rd Ste 103
Athens GA 30606-7204
Phone: (706) 369-0970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY002805 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002805 | Georgia |
Profile Details
| NPI number | 1932215845 |
|---|---|
| LBN Legal business name | Brechtel, Mark Franklin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 5th, 2009 - about 15 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 | 1932215845 | NPPES |
| Georgia | MEDICAID | 750409758A | |
| Georgia | Other | 1162893 |
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