Kim, Soo Hyun

Kim, Soo Hyun is an individual health care provider with primary practice located at 6185 Buford Hwy Bldg G , Peachtree Corners GA 30071-2350. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kim, Soo Hyun can be contacted via phone (770) 446-0929.

Contact Information

Primary practice address
6185 Buford Hwy Bldg G Peachtree Corners GA 30071-2350
Phone: (770) 446-0929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007148 Georgia

Profile Details

NPI number 1982191201
LBN Legal business name Kim, Soo Hyun
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2018
Last updated Dec 3rd, 2020 - about 4 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 1982191201 NPPES
Georgia MEDICAID 003206117A

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