Blakely, Eunice Mingo
Blakely, Eunice Mingo is an sole proprietor health care provider with primary practice located at 316 Bel Air Blvd # 304 , Mobile AL 36606-3507. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blakely, Eunice Mingo can be contacted via phone (251) 250-4161.Contact Information
Primary practice address
316 Bel Air Blvd # 304
Mobile AL 36606-3507
Phone: (251) 250-4161
Fax: (251) 288-5808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3289 | Alabama |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3289 | Alabama |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 3289 | Alabama |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3289 | Alabama |
Profile Details
| NPI number | 1073997268 |
|---|---|
| LBN Legal business name | Blakely, Eunice Mingo |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Jan 17th, 2024 - about last year |
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 | 1073997268 | NPPES |
| Alabama | Other | 3289 | BOARD OF EXAMINERS IN COUNSELING |
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