Mccullough, Sherese Twyana

Mccullough, Sherese Twyana is an sole proprietor health care provider with primary practice located at 2419 Old Thompson Bridge Rd Apt J5 , Gainesville GA 30501-1167. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mccullough, Sherese Twyana can be contacted via phone (678) 858-3322.

Contact Information

Primary practice address
2419 Old Thompson Bridge Rd Apt J5 Gainesville GA 30501-1167
Phone: (678) 858-3322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1003572843
LBN Legal business name Mccullough, Sherese Twyana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2021
Last updated Nov 16th, 2021 - about 5 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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