Lively, Tamara Dawn
Lively, Tamara Dawn is an individual health care provider with primary practice located at 126 Enterprise Path , Hiram GA 30141-2656. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lively, Tamara Dawn can be contacted via phone (678) 896-8959.Contact Information
Primary practice address
126 Enterprise Path
Hiram GA 30141-2656
Phone: (678) 896-8959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC011146 | Georgia |
Profile Details
| NPI number | 1568731495 |
|---|---|
| LBN Legal business name | Lively, Tamara Dawn |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2011 |
| Last updated | Oct 27th, 2019 - about 7 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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