Coakley, Ebone
Coakley, Ebone is an sole proprietor health care provider with primary practice located at 1840 Old Norcross Rd Suite 200, Lawrenceville GA 30044-8803. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coakley, Ebone can be contacted via phone (770) 355-6073.Contact Information
Primary practice address
1840 Old Norcross Rd Suite 200
Lawrenceville GA 30044-8803
Phone: (770) 355-6073
Fax: (770) 913-8027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004856 | Georgia |
Profile Details
| NPI number | 1992174817 |
|---|---|
| LBN Legal business name | Coakley, Ebone |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2015 |
| Last updated | Aug 31st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992174817 | NPPES |
| Georgia | MEDICAID | 003168454B |
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