Moldovanyi, Carolyn
Moldovanyi, Carolyn is an sole proprietor health care provider with primary practice located at 2825 N 10Th St Ste A2 , St Augustine FL 32084-1872. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Moldovanyi, Carolyn can be contacted via phone (904) 664-1999.Contact Information
Primary practice address
2825 N 10Th St Ste A2
St Augustine FL 32084-1872
Phone: (904) 664-1999
Fax: (855) 486-2788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH6273 | Florida |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT2275 | Florida |
Profile Details
| NPI number | 1639233026 |
|---|---|
| LBN Legal business name | Moldovanyi, Carolyn |
| Credentials | LMHC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639233026 | NPPES |
| Florida | MEDICAID | 764719100 |
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