Glaze Parker, Michelle Wrayanne

Glaze Parker, Michelle Wrayanne is an individual health care provider with primary practice located at 700 Churchill Ct Ste 110 , Woodstock GA 30188-6880. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Glaze Parker, Michelle Wrayanne can be contacted via phone (770) 284-9092.

Contact Information

Primary practice address
700 Churchill Ct Ste 110 Woodstock GA 30188-6880
Phone: (770) 284-9092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 509931 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC011567 Georgia

Profile Details

NPI number 1760092019
LBN Legal business name Glaze Parker, Michelle Wrayanne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2020
Last updated Aug 12th, 2020 - about 4 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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