Domond, Roselande
Domond, Roselande is an sole proprietor health care provider with primary practice located at 135 Bradford Sq Ste B , Fayetteville GA 30215-1902. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Domond, Roselande can be contacted via phone (678) 886-9112.Contact Information
Primary practice address
135 Bradford Sq Ste B
Fayetteville GA 30215-1902
Phone: (678) 886-9112
Fax: (404) 900-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC007883 | Georgia |
Profile Details
| NPI number | 1366847444 |
|---|---|
| LBN Legal business name | Domond, Roselande |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2014 |
| Last updated | Jun 29th, 2020 - about 6 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 | 1366847444 | NPPES |
| Georgia | MEDICAID | 003169295A |
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