Harper, Melanie Street

Harper, Melanie Street is an individual health care provider with primary practice located at 360 Stonewall Ave W , Fayetteville GA 30214-1547. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Harper, Melanie Street can be contacted via phone (678) 271-2107.

Contact Information

Primary practice address
360 Stonewall Ave W Fayetteville GA 30214-1547
Phone: (678) 271-2107
Fax: (770) 683-1991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-46012 Georgia

Profile Details

NPI number 1104446202
LBN Legal business name Harper, Melanie Street
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2020
Last updated Sep 14th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104446202 NPPES
Georgia MEDICAID 003218736A
Georgia MEDICAID 003243127B

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