Agnew, Olivia Leigh

Agnew, Olivia Leigh is an individual health care provider with primary practice located at 495 Prosperity Lake Dr Ste 101 , Saint Augustine FL 32092-5045. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Agnew, Olivia Leigh can be contacted via phone (904) 370-3420.

Contact Information

Primary practice address
495 Prosperity Lake Dr Ste 101 Saint Augustine FL 32092-5045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326897216
LBN Legal business name Agnew, Olivia Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2024
Last updated May 14th, 2024 - about 6 months 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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