Willis, Lynyetta G

Willis, Lynyetta G is an individual health care provider with primary practice located at 308 Clairemont Ave , Decatur GA 30030-2506. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Willis, Lynyetta G can be contacted via phone (678) 549-2209.

Contact Information

Primary practice address
308 Clairemont Ave Decatur GA 30030-2506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY003209 Georgia

Profile Details

NPI number 1598098949
LBN Legal business name Willis, Lynyetta G
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Sep 30th, 2010 - about 16 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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