Green, Ayana T

Green, Ayana T is an sole proprietor health care provider with primary practice located at 112 Broad St , Jonesboro GA 30236-3563. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Green, Ayana T can be contacted via phone (404) 317-8215.

Contact Information

Primary practice address
112 Broad St Jonesboro GA 30236-3563
Phone: (404) 317-8215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005885 Georgia

Profile Details

NPI number 1508171380
LBN Legal business name Green, Ayana T
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2010
Last updated Aug 17th, 2010 - about 15 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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