Davis, Celeste
Davis, Celeste is an sole proprietor health care provider with primary practice located at 126 Enterprise Path Ste 205 , Hiram GA 30141-2654. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Celeste can be contacted via phone (770) 634-8443.Contact Information
Primary practice address
126 Enterprise Path Ste 205
Hiram GA 30141-2654
Phone: (770) 634-8443
Fax: (404) 920-8141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005353 | Guam |
Profile Details
| NPI number | 1821245945 |
|---|---|
| LBN Legal business name | Davis, Celeste |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821245945 | NPPES |
| Georgia | MEDICAID | 717155845C |
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