Campbell, Reneisha
Campbell, Reneisha is an sole proprietor health care provider with primary practice located at 422 Avian Forest Dr , Stockbridge GA 30281-7265. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Campbell, Reneisha can be contacted via phone (706) 566-2694.Contact Information
Primary practice address
422 Avian Forest Dr
Stockbridge GA 30281-7265
Phone: (706) 566-2694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW007638 | Georgia |
Profile Details
| NPI number | 1255057832 |
|---|---|
| LBN Legal business name | Campbell, Reneisha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2022 |
| Last updated | Oct 17th, 2022 - about 4 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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