Purvis, Skylar James

Purvis, Skylar James is an sole proprietor health care provider with primary practice located at 2479 Aloma Ave , Winter Park FL 32792-2541. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Purvis, Skylar James can be contacted via phone (497) 657-6692.

Contact Information

Primary practice address
2479 Aloma Ave Winter Park FL 32792-2541
Phone: (497) 657-6692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-53308
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH22549 Florida

Profile Details

NPI number 1871083469
LBN Legal business name Purvis, Skylar James
Credentials RMHCI, RMFTI
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2018
Last updated Jun 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871083469 NPPES
Florida Other IMH22549 STATE OF FLORIDA
Florida Other RBT-18-53308 STATE OF FLORIDA
Florida MEDICAID 022030900 STATE OF FLORIDA

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