Noldy, Danette R

Noldy, Danette R is an sole proprietor health care provider with primary practice located at 127 Church St Ne Suite 350, Marietta GA 30060-8637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Noldy, Danette R can be contacted via phone (770) 365-0159.

Contact Information

Primary practice address
127 Church St Ne Suite 350 Marietta GA 30060-8637
Phone: (770) 365-0159
Fax: (770) 425-8276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004456 Georgia

Profile Details

NPI number 1710152483
LBN Legal business name Noldy, Danette R
Credentials M.ED., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 18 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 1710152483 NPPES
Georgia MEDICAID 10059908

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