Gomez Azcarate Renero, Elian

Gomez Azcarate Renero, Elian is an individual health care provider with primary practice located at 1113 Staples Dr Sw , Lilburn GA 30047-2385. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gomez Azcarate Renero, Elian can be contacted via phone (678) 983-1842.

Contact Information

Primary practice address
1113 Staples Dr Sw Lilburn GA 30047-2385
Phone: (678) 983-1842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215651385
LBN Legal business name Gomez Azcarate Renero, Elian
Credentials COMMUNITY SUPPORT IN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2022
Last updated Oct 3rd, 2022 - about 4 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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