Rysiew, Minou
Rysiew, Minou is an sole proprietor health care provider with primary practice located at 1551 Jennings Mill Rd Unit 3200A Resource Valley, Watkinsville GA 30677-7282. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rysiew, Minou can be contacted via phone (706) 207-6611.Contact Information
Primary practice address
1551 Jennings Mill Rd Unit 3200A Resource Valley
Watkinsville GA 30677-7282
Phone: (706) 207-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003390 | Georgia |
Profile Details
| NPI number | 1154472413 |
|---|---|
| LBN Legal business name | Rysiew, Minou |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Mar 9th, 2015 - about 11 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 | 1154472413 | NPPES |
| Georgia | MEDICAID | 934296907A |
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