Preston, Kishla
Preston, Kishla is an individual health care provider with primary practice located at 146 Orchard Hill Dr , Ellenwood GA 30294-2570. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Preston, Kishla can be contacted via phone (470) 265-0166.Contact Information
Primary practice address
146 Orchard Hill Dr
Ellenwood GA 30294-2570
Phone: (470) 265-0166
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW006652 | Georgia |
Profile Details
NPI number | 1275944233 |
---|---|
LBN Legal business name | Preston, Kishla |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2014 |
Last updated | Dec 18th, 2018 - about 7 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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