Serafy, Scott Pendleton
Serafy, Scott Pendleton is an sole proprietor health care provider with primary practice located at 144 Pierce Ave , Macon GA 31204-2860. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Serafy, Scott Pendleton can be contacted via phone (478) 475-4608.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 004265 | Georgia |
Profile Details
| NPI number | 1164646386 |
|---|---|
| LBN Legal business name | Serafy, Scott Pendleton |
| Credentials | M.S., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Dec 27th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164646386 | NPPES |
| Georgia | MEDICAID | 288797722B |
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