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
Phone: (706) 660-9335
Fax: (706) 660-9210
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568521342 | NPPES |
Georgia | MEDICAID | 000457894A |
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