Freeman, Granville Theodore

Freeman, Granville Theodore is an sole proprietor health care provider with primary practice located at 5000 Brittany Drive , Stone Mountain GA 30083. He 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 / Counselor is his primary health care specialty. Freeman, Granville Theodore can be contacted via phone (404) 538-1791.

Contact Information

Primary practice address
5000 Brittany Drive Stone Mountain GA 30083
Phone: (404) 538-1791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC008077 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC008077 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008077 Georgia

Profile Details

NPI number 1144625922
LBN Legal business name Freeman, Granville Theodore
Credentials LPC, NCC, DCC, GCDF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2014
Last updated Oct 23rd, 2014 - about 11 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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