Clemons, Robert L

Clemons, Robert L is an sole proprietor health care provider with primary practice located at 101 Devant St Ste 702 , Fayetteville GA 30214-2717. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clemons, Robert L can be contacted via phone (678) 522-7447.

Contact Information

Primary practice address
101 Devant St Ste 702 Fayetteville GA 30214-2717
Phone: (678) 522-7447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004041 Georgia

Profile Details

NPI number 1548971260
LBN Legal business name Clemons, Robert L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2022
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548971260 NPPES
Georgia MEDICAID 506883590

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