Conner, Devonne Angela
Conner, Devonne Angela is an sole proprietor health care provider with primary practice located at 212 Broad St , Hattiesburg MS 39401-3603. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conner, Devonne Angela can be contacted via phone (601) 582-5018.Contact Information
Primary practice address
212 Broad St
Hattiesburg MS 39401-3603
Phone: (601) 582-5018
Fax: (601) 582-5018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C7065 | Mississippi |
Profile Details
| NPI number | 1134394943 |
|---|---|
| LBN Legal business name | Conner, Devonne Angela |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Jul 8th, 2013 - about 12 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 | 1134394943 | NPPES |
| Mississippi | MEDICAID | 04132761 |
Popular Providers
-
Kamp, Janie Jones
1 Lincoln Parkway Suite 202, Hattiesburg MS 39402 -
Smith, Christy
66 Old Airport Rd , Hattiesburg MS 39401-8382 -
Murdy, Victoria L
118 College Dr # 5163 , Hattiesburg MS 39406-0001 -
Cheatle, Barbara Anne
118 College Dr , Hattiesburg MS 39406-6810 -
Dalafave, Allen Sean
1302 Lee Ave , Hattiesburg MS 39407-0001 -
Cameron, Pamela M
2104 Hardy St Ste B, Hattiesburg MS 39401 -
Seifert, Rebecca
2304 W 7Th St Apt. 804, Hattiesburg MS 39401-3219 -
Thoms, Lynda T
239 Methodist Blvd , Hattiesburg MS 39402-1297