Roquemore, Aaron

Roquemore, Aaron is an sole proprietor health care provider with primary practice located at 210 S 13Th St , Griffin GA 30224. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Roquemore, Aaron can be contacted via phone (470) 204-7956.

Contact Information

Primary practice address
210 S 13Th St Griffin GA 30224
Phone: (470) 204-7956
Fax: (866) 217-7073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000524 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000232 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000232 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC000524 Georgia

Profile Details

NPI number 1598098006
LBN Legal business name Roquemore, Aaron
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Oct 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598098006 NPPES
Georgia MEDICAID 889079225A

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