Cooper, Garrett P

Cooper, Garrett P is an sole proprietor health care provider with primary practice located at 471 Spencer Dr , West Palm Bch FL 33409-3675. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cooper, Garrett P can be contacted via phone (561) 444-3512.

Contact Information

Primary practice address
471 Spencer Dr West Palm Bch FL 33409-3675
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16765 Florida

Profile Details

NPI number 1063063402
LBN Legal business name Cooper, Garrett P
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2019
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063063402 NPPES
Florida MEDICAID 118086400

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