Peebles, Dawn Savannah

Peebles, Dawn Savannah is an sole proprietor health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Peebles, Dawn Savannah can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904-6258
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X APC001259 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC005594 Georgia

Profile Details

NPI number 1215101944
LBN Legal business name Peebles, Dawn Savannah
Credentials LPC005594
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2008
Last updated Feb 20th, 2020 - about 5 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 1215101944 NPPES
Georgia MEDICAID 000606317B

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