Mcdaniel, Scott Douglas
Mcdaniel, Scott Douglas is an sole proprietor health care provider with primary practice located at 808 Avenue B Ne Ste D , Rome GA 30165-2746. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mcdaniel, Scott Douglas can be contacted via phone (706) 331-1757.Contact Information
Primary practice address
808 Avenue B Ne Ste D
Rome GA 30165-2746
Phone: (706) 331-1757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 004274 | Georgia |
Profile Details
| NPI number | 1215277553 |
|---|---|
| LBN Legal business name | Mcdaniel, Scott Douglas |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2013 |
| Last updated | Oct 25th, 2023 - about 2 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 | 1215277553 | NPPES |
| Georgia | MEDICAID | 003135223A |
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