Alexander, Mary Blaydes
Alexander, Mary Blaydes is an sole proprietor health care provider with primary practice located at 200 E Memorial Dr Suite 6, Dallas GA 30132-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Alexander, Mary Blaydes can be contacted via phone (770) 505-1431.Contact Information
Primary practice address
200 E Memorial Dr Suite 6
Dallas GA 30132-3811
Phone: (770) 505-1431
Fax: (770) 505-1431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003206 | Georgia |
Profile Details
| NPI number | 1225162555 |
|---|---|
| LBN Legal business name | Alexander, Mary Blaydes |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Mar 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225162555 | NPPES |
| Georgia | MEDICAID | 795105989A |
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