Cooper, Mico Brenitta
Cooper, Mico Brenitta is an individual health care provider with primary practice located at 10105 Plank Rd Ste 5 , Clinton LA 70722-3707. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Cooper, Mico Brenitta can be contacted via phone (225) 605-5026.Contact Information
Primary practice address
10105 Plank Rd Ste 5
Clinton LA 70722-3707
Phone: (225) 605-5026
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / School | 101YS0200X | AN529595 | Louisiana |
Profile Details
NPI number | 1528643822 |
---|---|
LBN Legal business name | Cooper, Mico Brenitta |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2021 |
Last updated | Sep 7th, 2021 - about 3 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.
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