Middleton, Georgia

Middleton, Georgia is an individual health care provider with primary practice located at 145 Erten St , Thousand Oaks CA 91360-1810. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Middleton, Georgia can be contacted via phone (805) 870-4345.

Contact Information

Primary practice address
145 Erten St Thousand Oaks CA 91360-1810
Phone: (805) 870-4345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376179747
LBN Legal business name Middleton, Georgia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2020
Last updated Jun 7th, 2024 - about 5 months 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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