Rhett, Gerald

Rhett, Gerald is an sole proprietor health care provider with primary practice located at 6291 Shell Dr Sw , Atlanta GA 30331-9420. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rhett, Gerald can be contacted via phone (404) 523-4599.

Contact Information

Primary practice address
6291 Shell Dr Sw Atlanta GA 30331-9420
Fax: (404) 586-0645
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004673 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CERTIFICATE #227 Georgia

Profile Details

NPI number 1497028427
LBN Legal business name Rhett, Gerald
Credentials LCSW, ICADC, ICCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2012
Last updated Dec 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497028427 NPPES
Georgia Other CSW004673 SECRETARY OF STATE, GEORGIA COMPOSITE BOARD
Georgia Other 112681 SECRETARY OF STATE, GEORGIA COMPOSITE BOARD

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