Champa, Holly Ann
Champa, Holly Ann is an individual health care provider with primary practice located at 1970 Michigan Ave J 2, Cocoa FL 32922-5758. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Champa, Holly Ann can be contacted via phone (321) 639-4483.Contact Information
Primary practice address
1970 Michigan Ave J 2
Cocoa FL 32922-5758
Phone: (321) 639-4483
Fax: (321) 690-0848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 6888 | Florida |
Profile Details
| NPI number | 1215990197 |
|---|---|
| LBN Legal business name | Champa, Holly Ann |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Sep 9th, 2008 - about 18 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 | 1215990197 | NPPES |
| Florida | Other | Z9402 | BLUE CROSS BLUE SHIELD |
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