Paul, Douglass

Paul, Douglass is an sole proprietor health care provider with primary practice located at 1619 Hanks Ave , Orlando FL 32814-6707. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Paul, Douglass can be contacted via phone (678) 477-8747.

Contact Information

Primary practice address
1619 Hanks Ave Orlando FL 32814-6707
Phone: (678) 477-8747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH17517 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005791 Georgia

Profile Details

NPI number 1285701425
LBN Legal business name Paul, Douglass
Credentials LMHC, QS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Mar 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285701425 NPPES
Florida Other MH17517 FL BOARD OF MHC
Florida Other LPC005791 FL BOARD OF MHC

Popular Providers