Eakin, Peggy

Eakin, Peggy is an sole proprietor health care provider with primary practice located at 128 Market St , Alamosa CO 81101-2290. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Eakin, Peggy can be contacted via phone (719) 587-5955.

Contact Information

Primary practice address
128 Market St Alamosa CO 81101-2290
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACC.0007155 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.005044 Colorado

Profile Details

NPI number 1083748511
LBN Legal business name Eakin, Peggy
Credentials CAC II & LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Mar 18th, 2024 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083748511 NPPES
Colorado MEDICAID 00921271

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