Grimes, Richard
Grimes, Richard is an sole proprietor health care provider with primary practice located at 5213 Burbank St , Columbus GA 31907-4018. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Grimes, Richard can be contacted via phone (706) 566-1479.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X |
Profile Details
NPI number | 1932582319 |
---|---|
LBN Legal business name | Grimes, Richard |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 3rd, 2015 |
Last updated | Jul 3rd, 2015 - about 10 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 | 1932582319 | NPPES |
Georgia | MEDICAID | 2209 |
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