Heard, Zsa Zsa

Heard, Zsa Zsa is an individual health care provider with primary practice located at 111B Corporate Park East Dr , Lagrange GA 30241-3680. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Heard, Zsa Zsa can be contacted via phone (706) 884-1080.

Contact Information

Primary practice address
111B Corporate Park East Dr Lagrange GA 30241-3680
Fax: (706) 812-8866
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004885 Georgia

Profile Details

NPI number 1760642680
LBN Legal business name Heard, Zsa Zsa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jun 13th, 2008 - about 16 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 1760642680 NPPES
Georgia MEDICAID 514073675A

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