Douglas, Maxine Jean
Douglas, Maxine Jean is an sole proprietor health care provider with primary practice located at 10 Perimeter Summit Blvd Ne Unit 4408 , Brookhaven GA 30319-1487. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglas, Maxine Jean can be contacted via phone (404) 468-3284.Contact Information
Primary practice address
10 Perimeter Summit Blvd Ne Unit 4408
Brookhaven GA 30319-1487
Phone: (404) 468-3284
Fax: (678) 309-1039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005840 | Georgia |
Profile Details
| NPI number | 1871181974 |
|---|---|
| LBN Legal business name | Douglas, Maxine Jean |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2021 |
| Last updated | Jan 5th, 2021 - about 5 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.
Popular Providers
-
Goodloe, Gennifer Michelle
2916 Clairmont Rd Ne , Brookhaven GA 30329-4441 -
Sobel, Simone
2801 Buford Hwy Ne Ste 290 , Brookhaven GA 30329-2142 -
Chelette, Dairlyn J
2801 Buford Hwy Ne Ste 508, Brookhaven GA 30329-2137 -
Ashmore, Kathryn Taylor
2801 Buford Hwy Ne Ste 100 , Brookhaven GA 30329-2146 -
Stingily, Lauren Nicole
1661 Berkford Ct Ne , Brookhaven GA 30319-1707 -
Jones, Sander Tyler
2801 Buford Hwy Ne Ste T-10, Brookhaven GA 30329-2149 -
Jennings, Latonia A
2724 Brookhaven Vw Ne , Brookhaven GA 30319-5402 -
Lipham, Margaret Elizabeth
2801 Buford Hwy Ne Ste 501 , Brookhaven GA 30329-2137