Fleming, Andrea Laverne

Fleming, Andrea Laverne is an sole proprietor health care provider with primary practice located at 1320 Wynnton Rd Ste D , Columbus GA 31906-2867. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fleming, Andrea Laverne can be contacted via phone (706) 660-9335.

Contact Information

Primary practice address
1320 Wynnton Rd Ste D Columbus GA 31906-2867
Fax: (706) 660-9210
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001468 Georgia

Profile Details

NPI number 1568521342
LBN Legal business name Fleming, Andrea Laverne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Apr 6th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568521342 NPPES
Georgia MEDICAID 000457894A

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