Shortridge, Julie

Shortridge, Julie is an individual health care provider with primary practice located at 5991 Parkway North Blvd Ste B4 , Cumming GA 30040-1342. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shortridge, Julie can be contacted via phone (404) 274-5209.

Contact Information

Primary practice address
5991 Parkway North Blvd Ste B4 Cumming GA 30040-1342
Phone: (404) 274-5209
Fax: (770) 818-5607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S-0008535 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003547 Georgia

Profile Details

NPI number 1609871631
LBN Legal business name Shortridge, Julie
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 24th, 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 1609871631 NPPES
Georgia Other 201559520 TID
Georgia Other 201559520 TID

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