Graves, Montserrat Mitchell
Graves, Montserrat Mitchell is an sole proprietor health care provider with primary practice located at 319 N Stevens St , Thomasville GA 31792-5464. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graves, Montserrat Mitchell can be contacted via phone (229) 221-3442.Contact Information
Primary practice address
319 N Stevens St
Thomasville GA 31792-5464
Phone: (229) 221-3442
Fax: (855) 560-7664
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003372 | Georgia |
Profile Details
NPI number | 1417261231 |
---|---|
LBN Legal business name | Graves, Montserrat Mitchell |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 4th, 2010 |
Last updated | Mar 30th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417261231 | NPPES |
Georgia | MEDICAID | 003110133C |
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