Huddleston, Lillie Beatrice
Huddleston, Lillie Beatrice is an individual health care provider with primary practice located at 945 Memorial Dr Se Ste 422 , Atlanta GA 30316-1537. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Huddleston, Lillie Beatrice can be contacted via phone (404) 574-0103.Contact Information
Primary practice address
945 Memorial Dr Se Ste 422
Atlanta GA 30316-1537
Phone: (404) 574-0103
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PSY003967 | Georgia |
Behavioral Health & Social Service Providers / School | 103TS0200X | PSY003967 | Georgia |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY003967 | Georgia |
Profile Details
NPI number | 1902658990 |
---|---|
LBN Legal business name | Huddleston, Lillie Beatrice |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2024 |
Last updated | Apr 3rd, 2024 - about 7 months 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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