Maddocks, George

Maddocks, George is an sole proprietor health care provider with primary practice located at 8752 Quarters Lake Rd Bldg 9, Baton Rouge LA 70809-7306. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Maddocks, George can be contacted via phone (225) 922-9122.

Contact Information

Primary practice address
8752 Quarters Lake Rd Bldg 9 Baton Rouge LA 70809-7306
Fax: (225) 922-9125
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1816 Louisiana

Profile Details

NPI number 1467835819
LBN Legal business name Maddocks, George
Credentials LPC, NBCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2015
Last updated Mar 2nd, 2017 - about 9 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 1467835819 NPPES
Louisiana Other 13971463 CAQH

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