Staten, Ashley T

Staten, Ashley T is an individual health care provider with primary practice located at 4893 Memorial Dr , Stone Mountain GA 30083-4175. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Staten, Ashley T can be contacted via phone (404) 581-2188.

Contact Information

Primary practice address
4893 Memorial Dr Stone Mountain GA 30083-4175
Phone: (404) 581-2188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 05077957 Georgia

Profile Details

NPI number 1558837187
LBN Legal business name Staten, Ashley T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558837187 NPPES
Georgia Other CN0030029971 CNA

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