Grayson, Rita

Grayson, Rita is an individual health care provider with primary practice located at 5000 Research Ct Suite 725, Suwanee GA 30024-6609. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grayson, Rita can be contacted via phone (678) 557-4144.

Contact Information

Primary practice address
5000 Research Ct Suite 725 Suwanee GA 30024-6609
Fax: (770) 840-0162
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW029575 Georgia

Profile Details

NPI number 1285655704
LBN Legal business name Grayson, Rita
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 26th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285655704 NPPES
Georgia MEDICAID 00968734A

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