Chandler, Otis
Chandler, Otis is an sole proprietor health care provider with primary practice located at 5960 Crooked Creek Rd Suite 140-F, Peachtree Corners GA 30092-6219. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chandler, Otis can be contacted via phone (404) 664-4517.Contact Information
Primary practice address
5960 Crooked Creek Rd Suite 140-F
Peachtree Corners GA 30092-6219
Phone: (404) 664-4517
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 17210 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005989 | Georgia |
Profile Details
| NPI number | 1215212642 |
|---|---|
| LBN Legal business name | Chandler, Otis |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2011 |
| Last updated | Jan 22nd, 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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