Coley, Rae Sansom
Coley, Rae Sansom is an sole proprietor health care provider with primary practice located at 370 Lanier Ave E , Fayetteville GA 30214-2237. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coley, Rae Sansom can be contacted via phone (678) 884-4011.Contact Information
Primary practice address
370 Lanier Ave E
Fayetteville GA 30214-2237
Phone: (678) 884-4011
Fax: (678) 263-8511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004106 | Georgia |
Profile Details
| NPI number | 1326281544 |
|---|---|
| LBN Legal business name | Coley, Rae Sansom |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2009 |
| Last updated | Jun 2nd, 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.
Popular Providers
-
Harbin, Meghan
370 Lanier Ave E , Fayetteville GA 30214-2237 -
Forstall, Shantel M
110 Habersham Dr , Fayetteville GA 30214-1381 -
Leopold, Vicki M
170 Broadmoor Dr , Fayetteville GA 30215-2714 -
Merrick, Cynthia Dawn
145 Howard Ln , Fayetteville GA 30215-1848 -
Overstreet, Lauryn
110 Lorrie Ct , Fayetteville GA 30214-3807 -
King, Dale L
115 Habersham Dr , Fayetteville GA 30214 -
Thompson, Tori Clear
500 Lanier Ave W Suite 904, Fayetteville GA 30214-7636 -
Phillips, Tara Michele
3301 Cobblestone Blvd , Fayetteville GA 30215-7312