Thompson, Mandy
Thompson, Mandy is an sole proprietor health care provider with primary practice located at 2116 34Th St S , Saint Petersburg FL 33711-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thompson, Mandy can be contacted via phone (727) 321-3854.Contact Information
Primary practice address
2116 34Th St S
Saint Petersburg FL 33711-3224
Phone: (727) 321-3854
Fax: (727) 327-7670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH17946 | Florida |
Profile Details
| NPI number | 1518335991 |
|---|---|
| LBN Legal business name | Thompson, Mandy |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2015 |
| Last updated | Apr 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518335991 | NPPES |
| Florida | MEDICAID | 109627000 |
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