Fishell, Jarvia Lynn

Fishell, Jarvia Lynn is an sole proprietor health care provider with primary practice located at 33108 Lighthouse Rd , Selbyville DE 19975-4018. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fishell, Jarvia Lynn can be contacted via phone (443) 229-7400.

Contact Information

Primary practice address
33108 Lighthouse Rd Selbyville DE 19975-4018
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC0742 Maryland

Profile Details

NPI number 1396928735
LBN Legal business name Fishell, Jarvia Lynn
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2007
Last updated Dec 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396928735 NPPES
Maryland Other 259147-000 MAGELLAN BEHAVIORAL HEALTH
Maryland MEDICAID 609550001 MAGELLAN BEHAVIORAL HEALTH
Maryland Other 7840093 MAGELLAN BEHAVIORAL HEALTH
Maryland Other R968 MAGELLAN BEHAVIORAL HEALTH

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