White, Tanya

White, Tanya is an sole proprietor health care provider with primary practice located at 4575 Webb Bridge Rd Unit 4651 , Alpharetta GA 30023-0506. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. White, Tanya can be contacted via phone (770) 415-3442.

Contact Information

Primary practice address
4575 Webb Bridge Rd Unit 4651 Alpharetta GA 30023-0506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 6574 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC005475 Georgia

Profile Details

NPI number 1922473347
LBN Legal business name White, Tanya
Credentials LPC NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2015
Last updated Aug 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922473347 NPPES
Georgia MEDICAID 003178816A
Georgia MEDICAID 1922473347

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