Provider Demographics
NPI:1467826628
Name:POSTELLE, BETTY LOUISE
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:LOUISE
Last Name:POSTELLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 CLEVELAND HWY
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-8160
Mailing Address - Country:US
Mailing Address - Phone:706-270-5050
Mailing Address - Fax:706-270-5052
Practice Address - Street 1:2611 CLEVELAND HWY
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8160
Practice Address - Country:US
Practice Address - Phone:706-270-5050
Practice Address - Fax:706-270-5052
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor