Spelsberg, Stephanie Hemenway

Spelsberg, Stephanie Hemenway is an individual health care provider with primary practice located at 191 Lamar Haley Pkwy , Canton GA 30114-2699. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spelsberg, Stephanie Hemenway can be contacted via phone (770) 704-1600.

Contact Information

Primary practice address
191 Lamar Haley Pkwy Canton GA 30114-2699
Fax: (770) 704-1610
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8328 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003722 Georgia

Profile Details

NPI number 1841217544
LBN Legal business name Spelsberg, Stephanie Hemenway
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 27th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841217544 NPPES
Florida MEDICAID 767799500

Popular Providers