Mctavous, Adeline
Mctavous, Adeline is an individual health care provider with primary practice located at 555 Charlie Smith Sr Hwy Ste 6 , Saint Marys GA 31558. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mctavous, Adeline can be contacted via phone (912) 576-0187.Contact Information
Primary practice address
555 Charlie Smith Sr Hwy Ste 6
Saint Marys GA 31558
Phone: (912) 576-0187
Fax: (912) 576-9690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC3272 | Maryland |
Profile Details
| NPI number | 1124341854 |
|---|---|
| LBN Legal business name | Mctavous, Adeline |
| Credentials | PH.D., LPC, LMHC,CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2010 |
| Last updated | Sep 25th, 2018 - about 7 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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