Bergquist, Michael Thomas
Bergquist, Michael Thomas is an individual health care provider with primary practice located at 1637 Athens Hwy , Grayson GA 30017-1768. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bergquist, Michael Thomas can be contacted via phone (678) 344-8268.Contact Information
Primary practice address
1637 Athens Hwy
Grayson GA 30017-1768
Phone: (678) 344-8268
Fax: (888) 627-6444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC008976 | Georgia |
Profile Details
| NPI number | 1396263588 |
|---|---|
| LBN Legal business name | Bergquist, Michael Thomas |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2017 |
| Last updated | Sep 7th, 2017 - about 9 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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