Theodore, Beverley V

Theodore, Beverley V is an sole proprietor health care provider with primary practice located at 505 Harris Trail Rd Apt 4H , Richmond Hill GA 31324-4250. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Theodore, Beverley V can be contacted via phone (404) 944-0525.

Contact Information

Primary practice address
505 Harris Trail Rd Apt 4H Richmond Hill GA 31324-4250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC012057 Georgia

Profile Details

NPI number 1861076614
LBN Legal business name Theodore, Beverley V
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2021
Last updated May 7th, 2021 - about 4 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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