Hodge, Charlett

Hodge, Charlett is an sole proprietor health care provider with primary practice located at 260 4Th St , Fayetteville GA 30214-4618. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hodge, Charlett can be contacted via phone (202) 210-2530.

Contact Information

Primary practice address
260 4Th St Fayetteville GA 30214-4618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC011781 Georgia

Profile Details

NPI number 1861988040
LBN Legal business name Hodge, Charlett
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2018
Last updated Oct 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861988040 NPPES
Georgia Other APC006089 4

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