Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN EZRA BATES, CADC-I
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · FORT OGLETHORPE, GA
Registration Details
- NPI Number
- 1053800813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2018 (7.9635224646927 yrs)
- Last Updated
- May 8, 2018
- License
-
895 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2007 OLD LAFAYETTE RDFORT OGLETHORPE, GA, 307423510Browse GA providers · Browse ZIP 30742
- Phone
- 7068619390
- Fax
- 7068664740
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FORT OGLETHORPE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. AMY JO BARRON | ICCAADC, MSSW | 1700187929 |
| MISTY DAWN BATES | — | 1932639762 |
| DAVID ALLEN BURRIS SR. | — | 1437633088 |
| DANIELLE BROWN | — | 1093275398 |
| MAT TAYLOR YOUNG | — | 1063972354 |
| CARLY MARIE BERVOETS | — | 1376003343 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.