Mathis, Rita Diane

Mathis, Rita Diane is an individual health care provider with primary practice located at 3807 Clairmont Rd , Chamblee GA 30341-4911. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mathis, Rita Diane can be contacted via phone (404) 892-4646.

Contact Information

Primary practice address
3807 Clairmont Rd Chamblee GA 30341-4911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004630 Georgia

Profile Details

NPI number 1518203546
LBN Legal business name Mathis, Rita Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 14 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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