Mr. Robert Dennis JR.
Pastoral Counselor
608 Hardeman Ave
Fort Valley
, Georgia 31030-3438
Mr. Robert Dennis JR.
Pastoral Counselor
608 Hardeman Ave
Fort Valley
, Georgia 31030-3438
(478) 957-8447
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mr. Robert Dennis JR.
- 608 Hardeman Ave
- Fort Valley, GA
- Zip : 31030-3438
- Phone : (478) 957-8447
Second Address
- Mr. Robert Dennis JR.
- 608 Hardeman Ave
- Fort Valley, GA
- Zip : 31030-3438
- Phone : (478) 957-8447
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1376100321 |
|---|---|
| Provider Name | Mr. Robert Dennis JR. |
| First Address | Fort Valley, GA 31030-3438 |
| Second Address | Fort Valley, GA 31030-3438 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2019 |
| Last Update Date | 24/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 222116373732 | (05) | GA |
| 84-1880551 | IRS (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.