Young, Tamora Ellen

Young, Tamora Ellen is an individual health care provider with primary practice located at 4396 Lawrenceville Rd Suite 104, Loganville GA 30052. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Young, Tamora Ellen can be contacted via phone (678) 313-8784.

Contact Information

Primary practice address
4396 Lawrenceville Rd Suite 104 Loganville GA 30052
Phone: (678) 313-8784
Fax: (770) 554-5584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC002129 Georgia

Profile Details

NPI number 1134294101
LBN Legal business name Young, Tamora Ellen
Credentials LPC MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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