Farra, Jody Dean

Farra, Jody Dean is an individual health care provider with primary practice located at 6 Sixth St Central Building Suite 205, Bristol TN 37620. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Farra, Jody Dean can be contacted via phone (423) 968-2225.

Contact Information

Primary practice address
6 Sixth St Central Building Suite 205 Bristol TN 37620
Phone: (423) 968-2225
Fax: (423) 968-2225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PE000531 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC000282 Tennessee

Profile Details

NPI number 1285641340
LBN Legal business name Farra, Jody Dean
Credentials MA LPE LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1285641340 NPPES
Other TPIN 13037341 FED GOVT TRADE PARTNER ID

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