Trail, Bevonna

Trail, Bevonna is an individual health care provider with primary practice located at 3957 Holcomb Bridge Rd Suite 201 Pmb1065, Peachtree Corners GA 30092. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Trail, Bevonna can be contacted via phone (470) 588-2692.

Contact Information

Primary practice address
3957 Holcomb Bridge Rd Suite 201 Pmb1065 Peachtree Corners GA 30092
Phone: (470) 588-2692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 096547 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW008493 Georgia

Profile Details

NPI number 1730694498
LBN Legal business name Trail, Bevonna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2017
Last updated Apr 19th, 2024 - about 2 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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