Harris, Tyneisha
Harris, Tyneisha is an individual health care provider with primary practice located at 544 Medlock Rd Suite 106, Decatur GA 30030-1515. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Harris, Tyneisha can be contacted via phone (404) 579-2669.Contact Information
Primary practice address
544 Medlock Rd Suite 106
Decatur GA 30030-1515
Phone: (404) 579-2669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC006485 | Georgia |
Profile Details
| NPI number | 1982972725 |
|---|---|
| LBN Legal business name | Harris, Tyneisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2011 |
| Last updated | Dec 7th, 2011 - about 14 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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