Golson, Chantay Yolanda
Golson, Chantay Yolanda is an sole proprietor health care provider with primary practice located at 3400 Chapel Hill Rd , Douglasville GA 30135-1739. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Golson, Chantay Yolanda can be contacted via phone (770) 280-7288.Contact Information
Primary practice address
3400 Chapel Hill Rd
Douglasville GA 30135-1739
Phone: (770) 280-7288
Fax: (770) 983-6098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 007288 | Georgia |
Profile Details
| NPI number | 1588924401 |
|---|---|
| LBN Legal business name | Golson, Chantay Yolanda |
| Credentials | LPC, CAMS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2012 |
| Last updated | May 1st, 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 | 1588924401 | NPPES |
| Georgia | MEDICAID | 003126621A |
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