Decarr, Mickey C

Decarr, Mickey C is an sole proprietor health care provider with primary practice located at 85 Sangers Ln , Staunton VA 24401-6712. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Decarr, Mickey C can be contacted via phone (540) 887-3200.

Contact Information

Primary practice address
85 Sangers Ln Staunton VA 24401-6712
Phone: (540) 887-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001167 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000317 Virginia

Profile Details

NPI number 1306976014
LBN Legal business name Decarr, Mickey C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306976014 NPPES
Virginia Other 110273 ANTHEM

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