Clyburne, Regina S

Clyburne, Regina S is an individual health care provider with primary practice located at 126 Enterprise Path Ste 205 , Hiram GA 30141-2654. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clyburne, Regina S can be contacted via phone (678) 408-1513.

Contact Information

Primary practice address
126 Enterprise Path Ste 205 Hiram GA 30141-2654
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC007542 Georgia

Profile Details

NPI number 1528673944
LBN Legal business name Clyburne, Regina S
Credentials APC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 6 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.

Request for update

Popular Providers