Mycroft, Kristy L

Mycroft, Kristy L is an sole proprietor health care provider with primary practice located at 5960 Stewart Pkwy , Douglasville GA 30135-2372. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mycroft, Kristy L can be contacted via phone (404) 877-2190.

Contact Information

Primary practice address
5960 Stewart Pkwy Douglasville GA 30135-2372
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009749 Georgia

Profile Details

NPI number 1265933816
LBN Legal business name Mycroft, Kristy L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - about 8 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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