Hargrove, Verlyn Gail
Hargrove, Verlyn Gail is an individual health care provider with primary practice located at 106 Olympia Dr Ste B , Warner Robins GA 31093-3614. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hargrove, Verlyn Gail can be contacted via phone (478) 745-2811.Contact Information
Primary practice address
106 Olympia Dr Ste B
Warner Robins GA 31093-3614
Phone: (478) 745-2811
Fax: (478) 745-0881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005010 | Georgia |
Profile Details
| NPI number | 1013328582 |
|---|---|
| LBN Legal business name | Hargrove, Verlyn Gail |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2014 |
| Last updated | May 18th, 2014 - about 11 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 | 1013328582 | NPPES |
| Georgia | MEDICAID | 003145652A |
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