Prophet, Deleda Dale
Prophet, Deleda Dale is an sole proprietor health care provider with primary practice located at 198 S Macarthur Dr 198 S. Macarthur Drive, Camilla GA 31730-6370. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Prophet, Deleda Dale can be contacted via phone (229) 336-2247.Contact Information
Primary practice address
198 S Macarthur Dr 198 S. Macarthur Drive
Camilla GA 31730-6370
Phone: (229) 336-2247
Fax: (229) 336-8009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Fm | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Georgia |
Profile Details
| NPI number | 1518396522 |
|---|---|
| LBN Legal business name | Prophet, Deleda Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2013 |
| Last updated | Nov 11th, 2013 - 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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