Individual
DAWN MICHELLE HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-2273
(706) 542-8661
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-2273
(706) 542-8661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12010407
CAQH
—
01
—
2813466
CIGNA BEHAVIORAL HEALTH
—
05
—
6007388
—
NC
01
—
CSW003823
GA LICENSE
GA
Enumeration date
05/15/2009
Last updated
04/05/2023
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