Mccamey, Jimmy Dawson

Mccamey, Jimmy Dawson is an individual health care provider with primary practice located at 419 Ridley Ave , Lagrange GA 30240-2231. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccamey, Jimmy Dawson can be contacted via phone (706) 523-1114.

Contact Information

Primary practice address
419 Ridley Ave Lagrange GA 30240-2231
Phone: (706) 523-1114
Fax: (844) 273-4209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003852 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X LPC003852 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003153 Georgia

Profile Details

NPI number 1609036524
LBN Legal business name Mccamey, Jimmy Dawson
Credentials PH.D., LCSW, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Feb 5th, 2020 - about 5 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 1609036524 NPPES
Georgia MEDICAID 514073675A

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