Grim, Janet Mccullough
Grim, Janet Mccullough is an sole proprietor health care provider with primary practice located at 1726 Kingsley Ave Suite 3, Orange Park FL 32073. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Grim, Janet Mccullough can be contacted via phone (904) 269-7500.Contact Information
Primary practice address
1726 Kingsley Ave Suite 3
Orange Park FL 32073
Phone: (904) 269-7500
Fax: (904) 269-9972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT485 | Florida |
Profile Details
| NPI number | 1023090388 |
|---|---|
| LBN Legal business name | Grim, Janet Mccullough |
| Credentials | MA LMFT PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| 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 | 1023090388 | NPPES |
| Other | 5971037 | AETNA | |
| Other | 10732102 | AETNA | |
| Other | Z1385 | AETNA |
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