Padilla, Sarai

Padilla, Sarai is an individual health care provider with primary practice located at Medlin Treatment Center 110 Eagles Walk, Ste. 100, Stockbridge GA 30281-7204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Padilla, Sarai can be contacted via phone (770) 507-6044.

Contact Information

Primary practice address
Medlin Treatment Center 110 Eagles Walk, Ste. 100 Stockbridge GA 30281-7204
Phone: (770) 507-6044
Fax: (770) 507-5284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003101 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY003101 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 012193 New York

Profile Details

NPI number 1215074786
LBN Legal business name Padilla, Sarai
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 9th, 2009 - about 17 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 1215074786 NPPES
Georgia MEDICAID 457428408C
Georgia Other 01071167
Georgia Other 457428408B
Georgia MEDICAID 457428408B
Georgia Other 457428408C
Georgia Other 600411039
Georgia Other 457428408A
Georgia MEDICAID 457428408A

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