Witherspoon, Stacy D
Witherspoon, Stacy D is an sole proprietor health care provider with primary practice located at 2300 W Park Pl , Stone Mountain GA 30087-6713. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Witherspoon, Stacy D can be contacted via phone (678) 330-1400.Contact Information
Primary practice address
2300 W Park Pl
Stone Mountain GA 30087-6713
Phone: (678) 330-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1417575507 |
|---|---|
| LBN Legal business name | Witherspoon, Stacy D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2020 |
| Last updated | Nov 27th, 2023 - 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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