Jeanlouis, Marie Carmelle

Jeanlouis, Marie Carmelle is an sole proprietor health care provider with primary practice located at 538 Russett Ct Sw , Marietta GA 30064-4644. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jeanlouis, Marie Carmelle can be contacted via phone (770) 895-5522.

Contact Information

Primary practice address
538 Russett Ct Sw Marietta GA 30064-4644
Phone: (770) 895-5522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 09122676 Georgia

Profile Details

NPI number 1790037745
LBN Legal business name Jeanlouis, Marie Carmelle
Credentials MBA, BCCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2012
Last updated Oct 15th, 2012 - about 12 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 1790037745 NPPES
Georgia MEDICAID 09122676

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