Collins, Lewis Embry

Collins, Lewis Embry is an sole proprietor health care provider with primary practice located at 4530 S Berkeley Lake Rd Ste B, Berkeley Lake GA 30071-1657. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Collins, Lewis Embry can be contacted via phone (770) 446-5642.

Contact Information

Primary practice address
4530 S Berkeley Lake Rd Ste B Berkeley Lake GA 30071-1657
Phone: (770) 446-5642
Fax: (770) 446-5643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 0892 Georgia

Profile Details

NPI number 1235204991
LBN Legal business name Collins, Lewis Embry
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jun 1st, 2017 - about 8 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 1235204991 NPPES
Georgia MEDICAID 000546356B
Georgia MEDICAID 000546356C

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