Gillispie, Ricardo
Gillispie, Ricardo is an individual health care provider with primary practice located at 4940 Highway 39 N , Meridian MS 39301-1019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gillispie, Ricardo can be contacted via phone (601) 483-2864.Contact Information
Primary practice address
4940 Highway 39 N
Meridian MS 39301-1019
Phone: (601) 483-2864
Fax: (601) 483-2806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | MCLCSWC0082 | Mississippi |
Profile Details
| NPI number | 1699797944 |
|---|---|
| LBN Legal business name | Gillispie, Ricardo |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699797944 | NPPES |
| Mississippi | MEDICAID | 00120577 |
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