Richardson, Corey D

Richardson, Corey D is an sole proprietor health care provider with primary practice located at 4360 Oakleaf Cv , Decatur GA 30034-6243. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Richardson, Corey D can be contacted via phone (404) 625-4832.

Contact Information

Primary practice address
4360 Oakleaf Cv Decatur GA 30034-6243
Phone: (404) 625-4832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1760234611
LBN Legal business name Richardson, Corey D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2024
Last updated May 7th, 2024 - about last year

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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