Dominy, Connie Ruth

Dominy, Connie Ruth is an sole proprietor health care provider with primary practice located at 745 Riverside Drive Ln , Macon GA 31201-2658. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dominy, Connie Ruth can be contacted via phone (478) 742-8785.

Contact Information

Primary practice address
745 Riverside Drive Ln Macon GA 31201-2658
Phone: (478) 742-8785
Fax: (478) 742-3515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002333 Georgia

Profile Details

NPI number 1255538161
LBN Legal business name Dominy, Connie Ruth
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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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