Mong, Kristi

Mong, Kristi is an sole proprietor health care provider with primary practice located at 213 Henderson Ave , Pass Christian MS 39571-4309. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mong, Kristi can be contacted via phone (228) 300-8819.

Contact Information

Primary practice address
213 Henderson Ave Pass Christian MS 39571-4309
Phone: (228) 300-8819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 591034 Mississippi
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 591034 Mississippi

Profile Details

NPI number 1821654807
LBN Legal business name Mong, Kristi
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2019
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821654807 NPPES
Mississippi MEDICAID 09789002

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