Welborn, Deborah B

Welborn, Deborah B is an sole proprietor health care provider with primary practice located at 1205 Troup St , Augusta GA 30904. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Welborn, Deborah B can be contacted via phone (803) 599-2067.

Contact Information

Primary practice address
1205 Troup St Augusta GA 30904
Phone: (803) 599-2067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000983 Georgia
Behavioral Health & Social Service Providers / Social Worker 104100000X 000983GA Georgia

Profile Details

NPI number 1093741852
LBN Legal business name Welborn, Deborah B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Oct 2nd, 2007 - about 17 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 1093741852 NPPES
Georgia MEDICAID 888PBX
Georgia Other 78728585
Georgia Other A313596

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