Nicholson, Sherilee Chavis

Nicholson, Sherilee Chavis is an sole proprietor health care provider with primary practice located at 50 Meadow Valley Ct , Midland GA 31820-4393. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nicholson, Sherilee Chavis can be contacted via phone (251) 533-9875.

Contact Information

Primary practice address
50 Meadow Valley Ct Midland GA 31820-4393
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1844C Alabama
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003780 Georgia

Profile Details

NPI number 1689646432
LBN Legal business name Nicholson, Sherilee Chavis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Oct 8th, 2012 - about 13 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 1689646432 NPPES
Georgia Other 2021808556 MEDICARE

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