Fountain, Victoria
Fountain, Victoria is an sole proprietor health care provider with primary practice located at 47 Lakeland Ct , Powder Springs GA 30127-8774. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fountain, Victoria can be contacted via phone (678) 717-7952.Contact Information
Primary practice address
47 Lakeland Ct
Powder Springs GA 30127-8774
Phone: (678) 717-7952
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005684 | Georgia |
Profile Details
| NPI number | 1437504966 |
|---|---|
| LBN Legal business name | Fountain, Victoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2016 |
| Last updated | May 3rd, 2016 - about 8 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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