Larsen, Kristy
Larsen, Kristy is an individual health care provider with primary practice located at 1551 Jennings Mill Road Suite 2200A, Watkinsville GA 30677. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Larsen, Kristy can be contacted via phone (706) 223-0652.Contact Information
Primary practice address
1551 Jennings Mill Road Suite 2200A
Watkinsville GA 30677
Phone: (706) 223-0652
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY004765 | Georgia |
Profile Details
NPI number | 1144885856 |
---|---|
LBN Legal business name | Larsen, Kristy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2019 |
Last updated | Mar 21st, 2024 - about last year |
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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