Overstreet, Lauryn
Overstreet, Lauryn is an sole proprietor health care provider with primary practice located at 110 Lorrie Ct , Fayetteville GA 30214-3807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Overstreet, Lauryn can be contacted via phone (443) 477-7213.Contact Information
Primary practice address
110 Lorrie Ct
Fayetteville GA 30214-3807
Phone: (443) 477-7213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005850 | Georgia |
Profile Details
| NPI number | 1760637292 |
|---|---|
| LBN Legal business name | Overstreet, Lauryn |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2008 |
| Last updated | Jan 31st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760637292 | NPPES |
| Maryland | MEDICAID | 774800100 |
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