Gentry, Lisa Elaine
Gentry, Lisa Elaine is an individual health care provider with primary practice located at 3506 Professional Cir Ste B , Martinez GA 30907-8234. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gentry, Lisa Elaine can be contacted via phone (706) 210-8855.Contact Information
Primary practice address
3506 Professional Cir Ste B
Martinez GA 30907-8234
Phone: (706) 210-8855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC009971 | Georgia |
Profile Details
| NPI number | 1386151801 |
|---|---|
| LBN Legal business name | Gentry, Lisa Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2018 |
| Last updated | Jan 5th, 2018 - about 8 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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