Green, Icicess
Green, Icicess is an individual health care provider with primary practice located at 32 Millbranch Rd Ste 40 , Hattiesburg MS 39402-1673. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Green, Icicess can be contacted via phone (601) 255-5264.Contact Information
Primary practice address
32 Millbranch Rd Ste 40
Hattiesburg MS 39402-1673
Phone: (601) 255-5264
Fax: (866) 625-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-22-230400 | Mississippi |
Profile Details
| NPI number | 1144948704 |
|---|---|
| LBN Legal business name | Green, Icicess |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2022 |
| Last updated | Aug 19th, 2022 - 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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