Sturdivant Miles, Susan Necole

Sturdivant Miles, Susan Necole is an sole proprietor health care provider with primary practice located at 5176 Mainstreet Park Dr , Stone Mountain GA 30088-2440. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Sturdivant Miles, Susan Necole can be contacted via phone (706) 587-9955.

Contact Information

Primary practice address
5176 Mainstreet Park Dr Stone Mountain GA 30088-2440
Phone: (706) 587-9955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC014502 Georgia

Profile Details

NPI number 1407273816
LBN Legal business name Sturdivant Miles, Susan Necole
Credentials LPC,NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2014
Last updated Feb 12th, 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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