Thackston, Gregory

Thackston, Gregory is an individual health care provider with primary practice located at 1307 E Elm St , Athens AL 35611-5318. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thackston, Gregory can be contacted via phone (256) 232-3661.

Contact Information

Primary practice address
1307 E Elm St Athens AL 35611-5318
Phone: (256) 232-3661
Fax: (256) 341-0747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780919050
LBN Legal business name Thackston, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2009
Last updated Jan 21st, 2016 - about 8 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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