Mazyck, Talitha
Mazyck, Talitha is an individual health care provider with primary practice located at 977 Taylor St Sw # A , Conyers GA 30012-5357. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mazyck, Talitha can be contacted via phone (770) 918-6677.Contact Information
Primary practice address
977 Taylor St Sw # A
Conyers GA 30012-5357
Phone: (770) 918-6677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC001480 | Georgia |
Profile Details
| NPI number | 1326100173 |
|---|---|
| LBN Legal business name | Mazyck, Talitha |
| Credentials | MHP, LAPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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