Lavis, Jerome

Lavis, Jerome is an individual health care provider with primary practice located at 1051 Harmon Ave , Fort Stewart GA 31314. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lavis, Jerome can be contacted via phone (912) 435-6965.

Contact Information

Primary practice address
1051 Harmon Ave Fort Stewart GA 31314
Phone: (912) 435-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2630 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 11790 Texas

Profile Details

NPI number 1356464267
LBN Legal business name Lavis, Jerome
Credentials LPC-S, LMFT, LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Nov 9th, 2022 - about 3 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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