Hagwood, Teresa Woodward

Hagwood, Teresa Woodward is an sole proprietor health care provider with primary practice located at 400 Veterans Ave Primary Care Mental Health, Biloxi MS 39531-2410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hagwood, Teresa Woodward can be contacted via phone (228) 523-4797.

Contact Information

Primary practice address
400 Veterans Ave Primary Care Mental Health Biloxi MS 39531-2410
Phone: (228) 523-4797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C3131 Mississippi

Profile Details

NPI number 1114931664
LBN Legal business name Hagwood, Teresa Woodward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Mar 22nd, 2013 - about 11 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 1114931664 NPPES
Mississippi MEDICAID 00125717

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