Brawner, Patricia Sparks

Brawner, Patricia Sparks is an sole proprietor health care provider with primary practice located at 1751 So. Lumpkin St. , Athens GA 30606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brawner, Patricia Sparks can be contacted via phone (706) 552-2820.

Contact Information

Primary practice address
1751 So. Lumpkin St. Athens GA 30606
Phone: (706) 552-2820
Fax: (706) 354-8904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1719 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1719 Georgia

Profile Details

NPI number 1871582015
LBN Legal business name Brawner, Patricia Sparks
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Apr 22nd, 2015 - about 11 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 1871582015 NPPES
Georgia MEDICAID 00624753B

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