Pearson, Rose

Pearson, Rose is an individual health care provider with primary practice located at 2121A Bellevue Rd , Dublin GA 31021-2998. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pearson, Rose 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) 275-6649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 007269 Georgia

Profile Details

NPI number 1265862775
LBN Legal business name Pearson, Rose
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2013
Last updated Jul 1st, 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 1265862775 NPPES
Georgia MEDICAID 300030912A
Georgia MEDICAID 000606284H

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