Govan, Cassaundra Linette

Govan, Cassaundra Linette is an sole proprietor health care provider with primary practice located at 5755 Belmont Ridge Cir , Lithonia GA 30038-4073. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Govan, Cassaundra Linette can be contacted via phone (678) 386-5372.

Contact Information

Primary practice address
5755 Belmont Ridge Cir Lithonia GA 30038-4073
Phone: (678) 386-5372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004382 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC006231 Georgia

Profile Details

NPI number 1114273232
LBN Legal business name Govan, Cassaundra Linette
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2012
Last updated Apr 26th, 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 1114273232 NPPES
Georgia Other 12471700 CAQH
Georgia MEDICAID 00313788A CAQH

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