Bates, Teresa Ann

Bates, Teresa Ann is an individual health care provider with primary practice located at 4145 Columbia Rd. , Martinez GA 30907. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bates, Teresa Ann can be contacted via phone (706) 869-7373.

Contact Information

Primary practice address
4145 Columbia Rd. Martinez GA 30907
Phone: (706) 869-7373
Fax: (706) 869-7380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X BA2C14AC
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC007901 Georgia

Profile Details

NPI number 1831456607
LBN Legal business name Bates, Teresa Ann
Credentials MS, APC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Jul 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831456607 NPPES
Georgia MEDICAID 485569088A21

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