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
Fax: (478) 745-0881
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013328582 NPPES
Georgia MEDICAID 003145652A

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