Leonard, Crystal Odessa

Leonard, Crystal Odessa is an individual health care provider with primary practice located at 183 Seabreeze Ct , Newnan GA 30265-5572. She recently has only one registered license in Behavioral Health & Social Service Providers / Exercise & Sports, which is considered as her primary health care specialty. Leonard, Crystal Odessa can be contacted via phone (317) 847-8836.

Contact Information

Primary practice address
183 Seabreeze Ct Newnan GA 30265-5572
Phone: (317) 847-8836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X Georgia

Profile Details

NPI number 1861009516
LBN Legal business name Leonard, Crystal Odessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2020
Last updated May 24th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861009516 NPPES
Georgia Other 261QS100X N/A

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