Mccormick, Debora M

Mccormick, Debora M is an sole proprietor health care provider with primary practice located at 105 Village Walk Suite 180C, Dallas GA 30132-5504. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mccormick, Debora M can be contacted via phone (770) 826-5542.

Contact Information

Primary practice address
105 Village Walk Suite 180C Dallas GA 30132-5504
Phone: (770) 826-5542
Fax: (866) 840-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003940 Georgia

Profile Details

NPI number 1932254901
LBN Legal business name Mccormick, Debora M
Credentials MS, NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Dec 23rd, 2009 - about 15 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 1932254901 NPPES
Georgia MEDICAID 1932254901

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