Scippio, Decarlos Kouvaris

Scippio, Decarlos Kouvaris is an sole proprietor health care provider with primary practice located at 226 Sw Pine Forest Ct , Lake City FL 32024. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Scippio, Decarlos Kouvaris can be contacted via phone (386) 344-8355.

Contact Information

Primary practice address
226 Sw Pine Forest Ct Lake City FL 32024
Phone: (386) 344-8355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW21614 Florida

Profile Details

NPI number 1093186777
LBN Legal business name Scippio, Decarlos Kouvaris
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2015
Last updated Sep 19th, 2023 - about 3 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 1093186777 NPPES
Florida Other S100-171-87-297-0 DRIVER LICENSE

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