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Beverley Theodore, LPC
NPI 1861076614 · on the registry since 2021 · sole proprietor
Practice
- Address
- 505 Harris Trail Rd Apt 4h
Richmond Hill, GA 31324 - Phone
- (404) 944-0525
- Organisation at this address
- Blanket Transportation
Nowlin And Company WellnessInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia