King, Brenda Stubbs
King, Brenda Stubbs is an sole proprietor health care provider with primary practice located at 2020 Avalon Pkwy Suite 185, Mcdonough GA 30253-3054. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. King, Brenda Stubbs can be contacted via phone (678) 833-1820.Contact Information
Primary practice address
2020 Avalon Pkwy Suite 185
Mcdonough GA 30253-3054
Phone: (678) 833-1820
Fax: (678) 833-1821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005206 | Georgia |
Profile Details
| NPI number | 1558536110 |
|---|---|
| LBN Legal business name | King, Brenda Stubbs |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Oct 5th, 2009 - about 17 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 | 1558536110 | NPPES |
| Georgia | MEDICAID | 120049585A |
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