Godfrey, Tamara N

Godfrey, Tamara N is an individual health care provider with primary practice located at 111 N Mcdonough St , Decatur GA 30030-3317. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Godfrey, Tamara N can be contacted via phone (678) 235-8767.

Contact Information

Primary practice address
111 N Mcdonough St Decatur GA 30030-3317
Phone: (678) 235-8767
Fax: (855) 740-3001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY003307 Georgia

Profile Details

NPI number 1245537562
LBN Legal business name Godfrey, Tamara N
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2011
Last updated Aug 13th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245537562 NPPES
Georgia MEDICAID 003106375B
Georgia MEDICAID 003106375C

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