Walton, La-Kinya

Walton, La-Kinya is an sole proprietor health care provider with primary practice located at 1011 Eldon Ln , Fairburn GA 30213-5821. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Walton, La-Kinya can be contacted via phone (678) 768-1779.

Contact Information

Primary practice address
1011 Eldon Ln Fairburn GA 30213-5821
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1962032029
LBN Legal business name Walton, La-Kinya
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2020
Last updated Jan 16th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962032029 NPPES
Georgia Other 26-122849 SOCIAL SECURITY

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