Doheny, John Thomas

Doheny, John Thomas is an sole proprietor health care provider with primary practice located at 1661 13Th St Ste 102 , Columbus GA 31901-3844. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Doheny, John Thomas can be contacted via phone (706) 575-1833.

Contact Information

Primary practice address
1661 13Th St Ste 102 Columbus GA 31901-3844
Phone: (706) 575-1833
Fax: (706) 324-2088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CERTIFICATION #12786 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X 003696 Georgia

Profile Details

NPI number 1376550541
LBN Legal business name Doheny, John Thomas
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 10th, 2021 - 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 1376550541 NPPES
Other 141934451 FEDERAL TAX I.D.
MEDICAID 746440550A FEDERAL TAX I.D.

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