Mccormick, Debora M
Mccormick, Debora M is an sole proprietor health care provider with primary practice located at 105 Village Walk Suite 180C, Dallas GA 30132-5504. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mccormick, Debora M can be contacted via phone (770) 826-5542.Contact Information
Primary practice address
105 Village Walk Suite 180C
Dallas GA 30132-5504
Phone: (770) 826-5542
Fax: (866) 840-0590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003940 | Georgia |
Profile Details
| NPI number | 1932254901 |
|---|---|
| LBN Legal business name | Mccormick, Debora M |
| Credentials | MS, NCC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Dec 23rd, 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 | 1932254901 | NPPES |
| Georgia | MEDICAID | 1932254901 |
Popular Providers
-
Romick, Robin
304 W I Pkwy Suite 102, Dallas GA 30132-5078 -
Frech, Ida R.
4399 E Paulding Dr , Dallas GA 30157-9510 -
Momtahan, Mohammad Mehdi
59 Hillside Trace Suite 113, Dallas GA 30157-3315 -
Mezza, Christine J.
2260 Gold Mine Rd , Dallas GA 30157 -
Edwards-Arnold, April
530 S Fortune Way , Dallas GA 30157-7494 -
Kimbrough, Linda Hudson
743 Thomas Rd , Dallas GA 30132-1825 -
Alexander, Mary Blaydes
200 E Memorial Dr Suite 6, Dallas GA 30132-3811 -
Frey, Michele R
237 Lm Wigley Rd , Dallas GA 30132-1073