Mulholland, Amy Melissa
Mulholland, Amy Melissa is an individual health care provider with primary practice located at 6150 Diamond Centre Ct Unit 1003 , Fort Myers FL 33912-7135. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Mulholland, Amy Melissa can be contacted via phone (239) 561-9955.Contact Information
Primary practice address
6150 Diamond Centre Ct Unit 1003
Fort Myers FL 33912-7135
Phone: (239) 561-9955
Fax: (239) 561-9779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PY6605 | Florida |
Profile Details
| NPI number | 1831281690 |
|---|---|
| LBN Legal business name | Mulholland, Amy Melissa |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1831281690 | NPPES |
| Florida | Other | 54869 | BCBS OF FL IND.PROVIDER # |
| Florida | Other | 74976 | BCBS OF FL IND.PROVIDER # |
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