Mcelyea, Bethany Breckenridge
Mcelyea, Bethany Breckenridge is an sole proprietor health care provider with primary practice located at 102 Broad Street , Bainbridge GA 39817-3614. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mcelyea, Bethany Breckenridge can be contacted via phone (229) 416-4737.Contact Information
Primary practice address
102 Broad Street
Bainbridge GA 39817-3614
Phone: (229) 416-4737
Fax: (229) 416-4738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC002348 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC006633 | Georgia |
Profile Details
| NPI number | 1619291523 |
|---|---|
| LBN Legal business name | Mcelyea, Bethany Breckenridge |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2010 |
| Last updated | May 23rd, 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 | 1619291523 | NPPES |
| Georgia | MEDICAID | 003194071A |
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