Gholston, Summer Denise

Gholston, Summer Denise is an sole proprietor health care provider with primary practice located at 628 Avondale Creek Dr , Decatur GA 30032-8401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gholston, Summer Denise can be contacted via phone (678) 643-4436.

Contact Information

Primary practice address
628 Avondale Creek Dr Decatur GA 30032-8401
Phone: (678) 643-4436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-16-27495 Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-49880 Georgia

Profile Details

NPI number 1205343829
LBN Legal business name Gholston, Summer Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2018
Last updated Jan 5th, 2024 - about 10 months 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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