Ballou, Amy V

Ballou, Amy V is an sole proprietor health care provider with primary practice located at 1150 Red John Dr , Daytona Beach FL 32124-1016. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ballou, Amy V can be contacted via phone (386) 236-1812.

Contact Information

Primary practice address
1150 Red John Dr Daytona Beach FL 32124-1016
Phone: (386) 236-1812
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1487770137
LBN Legal business name Ballou, Amy V
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Aug 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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