Wyatt, Larry
Wyatt, Larry is an individual health care provider with primary practice located at 4037 Darling Ct Sw Ste B , Lilburn GA 30047-2365. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wyatt, Larry can be contacted via phone (770) 995-9789.Contact Information
Primary practice address
4037 Darling Ct Sw Ste B
Lilburn GA 30047-2365
Phone: (770) 995-9789
Fax: (770) 995-9787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC008237 | Georgia |
Profile Details
| NPI number | 1679068324 |
|---|---|
| LBN Legal business name | Wyatt, Larry |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2018 |
| Last updated | Nov 28th, 2018 - about 6 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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