Nettles, Rae Lynn

Nettles, Rae Lynn is an sole proprietor health care provider with primary practice located at 800 E Rochambeau Dr Ste F , Williamsburg VA 23188-9006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Nettles, Rae Lynn can be contacted via phone (912) 656-4227.

Contact Information

Primary practice address
800 E Rochambeau Dr Ste F Williamsburg VA 23188-9006
Phone: (912) 656-4227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002975 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001054 Georgia

Profile Details

NPI number 1205845294
LBN Legal business name Nettles, Rae Lynn
Credentials LPC, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jun 12th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205845294 NPPES
Georgia MEDICAID 451297230A

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