Trail, Bevonna
Trail, Bevonna is an individual health care provider with primary practice located at 3957 Holcomb Bridge Rd Suite 201 Pmb1065, Peachtree Corners GA 30092. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Trail, Bevonna can be contacted via phone (470) 588-2692.Contact Information
Primary practice address
3957 Holcomb Bridge Rd Suite 201 Pmb1065
Peachtree Corners GA 30092
Phone: (470) 588-2692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 096547 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW008493 | Georgia |
Profile Details
| NPI number | 1730694498 |
|---|---|
| LBN Legal business name | Trail, Bevonna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2017 |
| Last updated | Apr 19th, 2024 - about 2 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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