Ford, Meliza Mangco

Ford, Meliza Mangco is an sole proprietor health care provider with primary practice located at 418 Stephanie Dr , Goose Creek SC 29445-3542. She 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 / Marriage & Family Therapist is her primary health care specialty. Ford, Meliza Mangco can be contacted via phone (843) 425-4109.

Contact Information

Primary practice address
418 Stephanie Dr Goose Creek SC 29445-3542
Phone: (843) 425-4109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4849 South Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4501 South Carolina

Profile Details

NPI number 1487804985
LBN Legal business name Ford, Meliza Mangco
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2008
Last updated Sep 24th, 2008 - 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 1487804985 NPPES
Other 423976 MHN PROVIDER NUMBER (PIN)

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