James, Abbie Conrad
James, Abbie Conrad is an sole proprietor health care provider with primary practice located at 1730 Dunlawton Ave , Port Orange FL 32127-8985. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. James, Abbie Conrad can be contacted via phone (386) 957-3905.Contact Information
Primary practice address
1730 Dunlawton Ave
Port Orange FL 32127-8985
Phone: (386) 957-3905
Fax: (386) 402-8992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH7460 | Florida |
Profile Details
| NPI number | 1356630677 |
|---|---|
| LBN Legal business name | James, Abbie Conrad |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2011 |
| Last updated | Dec 29th, 2020 - about 6 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 | 1356630677 | NPPES |
| Florida | MEDICAID | 766925900 |
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