Ferguson, Phyllis Annette

Ferguson, Phyllis Annette is an individual health care provider with primary practice located at 441 Clay St , Lapeer MI 48446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ferguson, Phyllis Annette can be contacted via phone (810) 664-4557.

Contact Information

Primary practice address
441 Clay St Lapeer MI 48446
Phone: (810) 664-4557
Fax: (810) 664-5181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401001683 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801013350 Michigan

Profile Details

NPI number 1992732705
LBN Legal business name Ferguson, Phyllis Annette
Credentials LMSW LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 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 1992732705 NPPES
Michigan Other 8008927900 BLUE CROSS
Michigan Other 170021 BLUE CROSS

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