Wingfield, Kizzy Mae

Wingfield, Kizzy Mae is an individual health care provider with primary practice located at 250 Bray St , Athens GA 30601-2203. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wingfield, Kizzy Mae can be contacted via phone (706) 389-6789.

Contact Information

Primary practice address
250 Bray St Athens GA 30601-2203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1440 Georgia

Profile Details

NPI number 1457943060
LBN Legal business name Wingfield, Kizzy Mae
Credentials M.ED, CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2021
Last updated Feb 4th, 2021 - 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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