Ford, Meliza Mangco
Ford, Meliza Mangco is an sole proprietor health care provider with primary practice located at 418 Stephanie Dr , Goose Creek SC 29445-3542. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ford, Meliza Mangco can be contacted via phone (843) 425-4109.Contact Information
Primary practice address
418 Stephanie Dr
Goose Creek SC 29445-3542
Phone: (843) 425-4109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4849 | South Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4501 | South Carolina |
Profile Details
| NPI number | 1487804985 |
|---|---|
| LBN Legal business name | Ford, Meliza Mangco |
| Credentials | LMFT, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2008 |
| Last updated | Sep 24th, 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 | 1487804985 | NPPES |
| Other | 423976 | MHN PROVIDER NUMBER (PIN) |
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