Tallant, Lisa Welch
Tallant, Lisa Welch is an sole proprietor health care provider with primary practice located at 1532 Dunwoody Village Pkwy Suite 210, Dunwoody GA 30338-4136. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tallant, Lisa Welch can be contacted via phone (404) 578-6543.Contact Information
Primary practice address
1532 Dunwoody Village Pkwy Suite 210
Dunwoody GA 30338-4136
Phone: (404) 578-6543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002416 | Georgia |
Profile Details
| NPI number | 1285718643 |
|---|---|
| LBN Legal business name | Tallant, Lisa Welch |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 23rd, 2013 - about 11 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 | 1285718643 | NPPES |
| Georgia | MEDICAID | 00968272A |
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