Mathis Meyer, Shannon Fay

Mathis Meyer, Shannon Fay is an sole proprietor health care provider with primary practice located at 8322 Office Park Dr Ste D , Douglasville GA 30134-6936. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mathis Meyer, Shannon Fay can be contacted via phone (706) 936-6179.

Contact Information

Primary practice address
8322 Office Park Dr Ste D Douglasville GA 30134-6936
Phone: (706) 936-6179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005915 Georgia

Profile Details

NPI number 1992044465
LBN Legal business name Mathis Meyer, Shannon Fay
Credentials LCSW, CACII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Nov 20th, 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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