Gholston, Wanda Lewis
Gholston, Wanda Lewis is an individual health care provider with primary practice located at 4520 Executive Park Dr Suite B-100, Montgomery AL 36116-1619. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gholston, Wanda Lewis can be contacted via phone (334) 270-3181.Contact Information
Primary practice address
4520 Executive Park Dr Suite B-100
Montgomery AL 36116-1619
Phone: (334) 270-3181
Fax: (334) 270-5805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1378B | Alabama |
Profile Details
| NPI number | 1902926991 |
|---|---|
| LBN Legal business name | Gholston, Wanda Lewis |
| Credentials | MA LBSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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