Cornelison, Stephani Lee
Cornelison, Stephani Lee is an sole proprietor health care provider with primary practice located at 206 Thomas Dr , Lagrange GA 30240-9126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cornelison, Stephani Lee can be contacted via phone (706) 616-3976.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003562 | Georgia |
Profile Details
| NPI number | 1265519698 |
|---|---|
| LBN Legal business name | Cornelison, Stephani Lee |
| Credentials | PHD, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 29th, 2021 - about 3 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 | 1265519698 | NPPES |
| Georgia | Other | 376639331A | GEORGIA HEALTHY FAMILIES |
| Georgia | MEDICAID | 513478088A | GEORGIA HEALTHY FAMILIES |
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