Shorter, Michael David

Shorter, Michael David is an individual health care provider with primary practice located at 1301 Shiloh Rd Nw Ste 530 , Kennesaw GA 30144-7153. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shorter, Michael David can be contacted via phone (770) 376-0354.

Contact Information

Primary practice address
1301 Shiloh Rd Nw Ste 530 Kennesaw GA 30144-7153
Phone: (770) 376-0354
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MSW008424 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSW007990 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MSW008424 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW007990 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CSW007990 Georgia

Profile Details

NPI number 1720611775
LBN Legal business name Shorter, Michael David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2020
Last updated Aug 25th, 2022 - about 3 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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