Whailen, Timothy James
Whailen, Timothy James is an sole proprietor health care provider with primary practice located at 107 Enterprise Path Ste 301 , Hiram GA 30141-2690. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whailen, Timothy James can be contacted via phone (706) 509-0130.Contact Information
Primary practice address
107 Enterprise Path Ste 301
Hiram GA 30141-2690
Phone: (706) 509-0130
Fax: (706) 237-6503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW007682 | Georgia |
Profile Details
| NPI number | 1609445097 |
|---|---|
| LBN Legal business name | Whailen, Timothy James |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Jul 27th, 2021 - about 5 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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