Daughtery, Gloria Harris

Daughtery, Gloria Harris is an individual health care provider with primary practice located at 318 S Welborn St Suite C, Hinesville GA 31313-3127. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Daughtery, Gloria Harris can be contacted via phone (912) 332-5145.

Contact Information

Primary practice address
318 S Welborn St Suite C Hinesville GA 31313-3127
Phone: (912) 332-5145
Fax: (912) 332-5143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC005336 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC005336 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005336 Georgia

Profile Details

NPI number 1104078666
LBN Legal business name Daughtery, Gloria Harris
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Aug 7th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104078666 NPPES
Georgia MEDICAID 603509452B

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