Humphrey, Terra
Humphrey, Terra is an individual health care provider with primary practice located at 1990 Old Parker Rd Se Suite 100, Conyers GA 30094-6239. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Humphrey, Terra can be contacted via phone (678) 374-2959.Contact Information
Primary practice address
1990 Old Parker Rd Se Suite 100
Conyers GA 30094-6239
Phone: (678) 374-2959
Fax: (404) 975-4376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1497170716 |
|---|---|
| LBN Legal business name | Humphrey, Terra |
| Credentials | CACII |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Feb 24th, 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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