Melton, Mandi Jo
Melton, Mandi Jo is an sole proprietor health care provider with primary practice located at 318 E Park St , Crowley LA 70526-2468. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Melton, Mandi Jo can be contacted via phone (337) 280-0539.Contact Information
Primary practice address
318 E Park St
Crowley LA 70526-2468
Phone: (337) 280-0539
Fax: (337) 785-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7242 | Louisiana |
Profile Details
| NPI number | 1568685121 |
|---|---|
| LBN Legal business name | Melton, Mandi Jo |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Dec 20th, 2013 - about 13 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 | 1568685121 | NPPES |
| Louisiana | MEDICAID | 1549185 |
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