Diaz, Emerson Nicolas
Diaz, Emerson Nicolas is an sole proprietor health care provider with primary practice located at 3112 Simpson Highway 13 , Mendenhall MS 39114-3076. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Diaz, Emerson Nicolas can be contacted via phone (601) 622-3056.Contact Information
Primary practice address
3112 Simpson Highway 13
Mendenhall MS 39114-3076
Phone: (601) 622-3056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Mississippi | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3041 | Mississippi |
Profile Details
| NPI number | 1134704737 |
|---|---|
| LBN Legal business name | Diaz, Emerson Nicolas |
| Credentials | MS, NCC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2021 |
| Last updated | Jul 17th, 2024 - about 2 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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