Hackney, David Leroy
Hackney, David Leroy is an sole proprietor health care provider with primary practice located at 1100 S Ponce De Leon Blvd Ste 1 , Saint Augustine FL 32084-6013. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hackney, David Leroy can be contacted via phone (904) 824-7733.Contact Information
Primary practice address
1100 S Ponce De Leon Blvd Ste 1
Saint Augustine FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH22 | Florida |
Profile Details
| NPI number | 1407946726 |
|---|---|
| LBN Legal business name | Hackney, David Leroy |
| Credentials | L.M.H.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 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.
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