Davenport, Annetta M. G.

Davenport, Annetta M. G. is an sole proprietor health care provider with primary practice located at 124 E Miracle Strip Pkwy Ste 204 , Mary Esther FL 32569-1990. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davenport, Annetta M. G. can be contacted via phone (850) 226-7100.

Contact Information

Primary practice address
124 E Miracle Strip Pkwy Ste 204 Mary Esther FL 32569-1990
Phone: (850) 226-7100
Fax: (850) 226-7157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH9997 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9997 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH9997 Florida

Profile Details

NPI number 1710294749
LBN Legal business name Davenport, Annetta M. G.
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2010
Last updated Jun 15th, 2011 - about 15 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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