Palmer, Willie

Palmer, Willie is an individual health care provider with primary practice located at 2121A Bellevue Rd , Dublin GA 31021-2998. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Palmer, Willie can be contacted via phone (478) 272-1190.

Contact Information

Primary practice address
2121A Bellevue Rd Dublin GA 31021-2998
Phone: (478) 272-1190
Fax: (478) 274-7628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC005494 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC005494 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005494 Georgia

Profile Details

NPI number 1689902769
LBN Legal business name Palmer, Willie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2009
Last updated Jun 23rd, 2014 - about 11 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 1689902769 NPPES
Georgia MEDICAID 300030912A

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