Lee, Cynthia Beasley
Lee, Cynthia Beasley is an sole proprietor health care provider with primary practice located at 19 Church Street , Statesboro GA 30458-4853. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lee, Cynthia Beasley can be contacted via phone (912) 489-7590.Contact Information
Primary practice address
19 Church Street
Statesboro GA 30458-4853
Phone: (912) 489-7590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC001451 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005560 | Georgia |
Profile Details
| NPI number | 1922153253 |
|---|---|
| LBN Legal business name | Lee, Cynthia Beasley |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 19th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922153253 | NPPES |
| Georgia | Other | 1290450 | AMERIGROUP |
| Georgia | MEDICAID | 200221320A | AMERIGROUP |
| Georgia | Other | 687341 | AMERIGROUP |
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