Burgess, Deborah
Burgess, Deborah is an sole proprietor health care provider with primary practice located at 425 Cross St 111, Punta Gorda FL 33950-4877. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Burgess, Deborah can be contacted via phone (941) 505-6162.Contact Information
Primary practice address
425 Cross St 111
Punta Gorda FL 33950-4877
Phone: (941) 505-6162
Fax: (941) 505-8604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH5712 | Florida |
Profile Details
| NPI number | 1023001849 |
|---|---|
| LBN Legal business name | Burgess, Deborah |
| Credentials | MS, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Oct 22nd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023001849 | NPPES |
| Florida | Other | Z0361 | BCBS |
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