Brewton, Corrie
Brewton, Corrie is an individual health care provider with primary practice located at 3905 Johns Creek Ct Ste 260 , Suwanee GA 30024-1226. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brewton, Corrie can be contacted via phone (770) 753-0350.Contact Information
Primary practice address
3905 Johns Creek Ct Ste 260
Suwanee GA 30024-1226
Phone: (770) 753-0350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC009629 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFT001555 | Georgia |
Profile Details
| NPI number | 1497271746 |
|---|---|
| LBN Legal business name | Brewton, Corrie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2017 |
| Last updated | Aug 18th, 2017 - about 7 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 | 1497271746 | NPPES |
| Georgia | Other | LPC009629 | LPC |
| Georgia | Other | MFT001555 | LPC |
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