Clark, Lillee
Clark, Lillee is an sole proprietor health care provider with primary practice located at 605 Green St Nw Ste B , Gainesville GA 30501-3319. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Lillee can be contacted via phone (770) 538-4800.Contact Information
Primary practice address
605 Green St Nw Ste B
Gainesville GA 30501-3319
Phone: (770) 538-4800
Fax: (770) 503-9299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001290 | Georgia |
Profile Details
| NPI number | 1922116508 |
|---|---|
| LBN Legal business name | Clark, Lillee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Mar 2nd, 2010 - about 14 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 | 1922116508 | NPPES |
| Georgia | MEDICAID | 00566354A |
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