Victrum, Shanasia

Victrum, Shanasia is an individual health care provider with primary practice located at 177 Hayes Cir , Rex GA 30273-1543. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Victrum, Shanasia can be contacted via phone (678) 613-3542.

Contact Information

Primary practice address
177 Hayes Cir Rex GA 30273-1543
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1255068698
LBN Legal business name Victrum, Shanasia
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2022
Last updated Aug 5th, 2022 - about 4 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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