Chesney, Colletta

Chesney, Colletta is an sole proprietor health care provider with primary practice located at 3675 Crestwood Pkwy Nw Ste 472 , Duluth GA 30096-5136. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Chesney, Colletta can be contacted via phone (212) 470-0577.

Contact Information

Primary practice address
3675 Crestwood Pkwy Nw Ste 472 Duluth GA 30096-5136
Phone: (212) 470-0577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT22223656 Georgia

Profile Details

NPI number 1629703939
LBN Legal business name Chesney, Colletta
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2022
Last updated Jul 21st, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629703939 NPPES
Georgia MEDICAID 00000000

Popular Providers