Adame, Misty D
Adame, Misty D is an sole proprietor health care provider with primary practice located at 21448 N 75Th Ave Ste 6 , Glendale AZ 85308-5978. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Adame, Misty D can be contacted via phone (623) 572-8053.Contact Information
Primary practice address
21448 N 75Th Ave Ste 6
Glendale AZ 85308-5978
Phone: (623) 572-8053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 14458 | Arizona |
Profile Details
| NPI number | 1851931844 |
|---|---|
| LBN Legal business name | Adame, Misty D |
| Credentials | EDD LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2020 |
| Last updated | Jan 8th, 2020 - about 5 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 | 1851931844 | NPPES |
| Arizona | Other | 1689082265 | NPI |
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