East, Marlene L

East, Marlene L is an sole proprietor health care provider with primary practice located at 6521A N Lagoon Dr , Panama City Beach FL 32408-3730. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. East, Marlene L can be contacted via phone (850) 250-2690.

Contact Information

Primary practice address
6521A N Lagoon Dr Panama City Beach FL 32408-3730
Phone: (850) 250-2690
Fax: (321) 800-2580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5744 Florida

Profile Details

NPI number 1043287600
LBN Legal business name East, Marlene L
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Jan 20th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043287600 NPPES
Florida Other 611015200 WORKMAN'S COMP PROV NO.

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