Mussa, Shanequa

Mussa, Shanequa is an individual health care provider with primary practice located at 229 S Davis Rd , Lagrange GA 30241-2608. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mussa, Shanequa can be contacted via phone (800) 805-6989.

Contact Information

Primary practice address
229 S Davis Rd Lagrange GA 30241-2608
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1131 Georgia

Profile Details

NPI number 1699522037
LBN Legal business name Mussa, Shanequa
Credentials CADC11
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2024
Last updated May 3rd, 2024 - about last year

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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