Sargent, Larry Charles
Sargent, Larry Charles is an individual health care provider with primary practice located at 167 Palencia Village Dr Ste 101 , St Augustine FL 32095-8450. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sargent, Larry Charles can be contacted via phone (904) 224-5108.Contact Information
Primary practice address
167 Palencia Village Dr Ste 101
St Augustine FL 32095-8450
Phone: (904) 224-5108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMT 1254 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH 7278 | Florida |
Profile Details
| NPI number | 1659658748 |
|---|---|
| LBN Legal business name | Sargent, Larry Charles |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2011 |
| Last updated | Nov 3rd, 2011 - about 15 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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