Stanley, Chassidy M
Stanley, Chassidy M is an individual health care provider with primary practice located at 705 Jesse Jewell Pkwy Se Suite 175, Gainesville GA 30501-3867. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stanley, Chassidy M can be contacted via phone (770) 718-9790.Contact Information
Primary practice address
705 Jesse Jewell Pkwy Se Suite 175
Gainesville GA 30501-3867
Phone: (770) 718-9790
Fax: (770) 718-5531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003469 | Georgia |
Profile Details
| NPI number | 1477564367 |
|---|---|
| LBN Legal business name | Stanley, Chassidy M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Feb 22nd, 2017 - about 9 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 | 1477564367 | NPPES |
| Georgia | Other | GRP7811 | MEDICARE B |
| Georgia | MEDICAID | 392701029A | MEDICARE B |
| Georgia | MEDICAID | 392701029B | MEDICARE B |
Popular Providers
-
Brown, Jennifer Amendolari
2565 Thompson Bridge Rd Ste 111 , Gainesville GA 30501-1723 -
Willis, Monica
1211 Sherwood Park Dr Ne Ste B , Gainesville GA 30501-3444 -
Holzhalb, Carol Murphy
100 Spring St , Gainesville GA 30501-2565 -
Ayers, Rachel Greene
335 Washngtn St Se , Gainesville GA 30501-3616 -
Williams, Cheryl L
311 Green St Nw Ste 209A , Gainesville GA 30501-3356 -
Strong, Julia Helen
1709 B Cleveland Highway , Gainesville GA 30501 -
Lacy, Stephanie
142 Forrest Ave , Gainesville GA 30501 -
Moss, Donna Martin
1211 Sherwood Park Dr Ne Ste B , Gainesville GA 30501-3444