Dvine, Glendora
Dvine, Glendora is an sole proprietor health care provider with primary practice located at 141 Bridgemill Dr , Hampton GA 30228-5536. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dvine, Glendora can be contacted via phone (782) 125-1466.Contact Information
Primary practice address
141 Bridgemill Dr
Hampton GA 30228-5536
Phone: (782) 125-1466
Fax: (788) 313-5546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 006210 | Georgia |
Profile Details
| NPI number | 1144540535 |
|---|---|
| LBN Legal business name | Dvine, Glendora |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2010 |
| Last updated | Jan 31st, 2024 - about 2 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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