Fallen-Bobo, Miranda L.

Fallen-Bobo, Miranda L. is an individual health care provider with primary practice located at 3729 Main St , College Park GA 30337-3544. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fallen-Bobo, Miranda L. can be contacted via phone (678) 559-4043.

Contact Information

Primary practice address
3729 Main St College Park GA 30337-3544
Phone: (678) 559-4043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Georgia
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Georgia

Profile Details

NPI number 1821498809
LBN Legal business name Fallen-Bobo, Miranda L.
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2014
Last updated Mar 3rd, 2021 - 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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