Menjivar-Couch, Ana Lyllian Guadalupe

Menjivar-Couch, Ana Lyllian Guadalupe is an sole proprietor health care provider with primary practice located at 840 Lake Connie Rd , Carrollton GA 30116-9783. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Menjivar-Couch, Ana Lyllian Guadalupe can be contacted via phone (770) 853-7991.

Contact Information

Primary practice address
840 Lake Connie Rd Carrollton GA 30116-9783
Phone: (770) 853-7991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X APC-0005348 Georgia
Behavioral Health & Social Service Providers / School 101YS0200X 793694 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X APC0005348 Georgia

Profile Details

NPI number 1053899757
LBN Legal business name Menjivar-Couch, Ana Lyllian Guadalupe
Credentials APC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2018
Last updated Aug 3rd, 2018 - about 6 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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