Kingsberry, Tyshawn
Kingsberry, Tyshawn is an sole proprietor health care provider with primary practice located at 160 Camerons Way , Covington GA 30016-1162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kingsberry, Tyshawn can be contacted via phone (404) 348-3948.Contact Information
Primary practice address
160 Camerons Way
Covington GA 30016-1162
Phone: (404) 348-3948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW006341 | Georgia |
Profile Details
| NPI number | 1932297652 |
|---|---|
| LBN Legal business name | Kingsberry, Tyshawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jan 31st, 2018 - about 7 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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