Henry, Mia Deann

Henry, Mia Deann is an individual health care provider with primary practice located at 1061 Harmon Ave Ste. 1D03 Winn Army Community Hospital, Ft. Stewart GA 31314-5674. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Henry, Mia Deann can be contacted via phone (904) 435-5399.

Contact Information

Primary practice address
1061 Harmon Ave Ste. 1D03 Winn Army Community Hospital Ft. Stewart GA 31314-5674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7812 Florida

Profile Details

NPI number 1356595326
LBN Legal business name Henry, Mia Deann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Sep 1st, 2010 - about 15 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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