Harris, Nicole J

Harris, Nicole J is an sole proprietor health care provider with primary practice located at 5951 Fairington Farms Ln , Lithonia GA 30038-1545. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris, Nicole J can be contacted via phone (404) 668-8714.

Contact Information

Primary practice address
5951 Fairington Farms Ln Lithonia GA 30038-1545
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1275809360
LBN Legal business name Harris, Nicole J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2012
Last updated Apr 3rd, 2012 - about 13 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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