Wheat, Darryl
Wheat, Darryl is an sole proprietor health care provider with primary practice located at 106 Office Park Dr Ste D , Brandon MS 39042-2404. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wheat, Darryl can be contacted via phone (601) 613-5250.Contact Information
Primary practice address
106 Office Park Dr Ste D
Brandon MS 39042-2404
Phone: (601) 613-5250
Fax: (601) 824-7775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C1490 | Mississippi |
Profile Details
| NPI number | 1194877068 |
|---|---|
| LBN Legal business name | Wheat, Darryl |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1194877068 | NPPES |
| Mississippi | MEDICAID | 00114348 |
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