DR. PSYD, LPC Corey Milsap, NPI 1134510191
Mental Health Counselor in Fayetteville, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134510191
NPI Entity Type Individual
Provider Name DR. PSYD, LPC Corey Milsap
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 175 Carnegie Pl Ste 117, Fayetteville, GA, US
Provider Mailing Address 250 Georgia Ave E Unit 142181, Fayetteville, GA, US, 302145546
Is Sole Proprietor? Yes
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Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

101YM0800X

Taxonomy Name Mental Health Counselor
Classification

Counselor

Group

Behavioral Health & Social Service Providers

License No. LPC008253
License State GA
Description Definition to come...

Other Name

DR. Corey Layne
Former Name

Business Address

DR. PSYD, LPC Corey Milsap
175 Carnegie Pl Ste 117

Fayetteville, GA, US

Phone: 678-833-5395
Fax: 844-799-6134

Mailing Address

DR. PSYD, LPC Corey Milsap
250 Georgia Ave E Unit 142181
Fayetteville, GA, US
ZIP 302145546
Phone: 678-833-5395
Fax: 844-799-6134

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

101YP2500X

Behavioral Health & Social Service Providers

Counselor

LPC008253 GA No

103T00000X

Behavioral Health & Social Service Providers

Psychologist

SS1424 FL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
003163439D GA MEDICAID 05
003163439B GA MEDICAID 05

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Organization

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Organization

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Organization

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