James, Abbie Conrad

James, Abbie Conrad is an sole proprietor health care provider with primary practice located at 1730 Dunlawton Ave , Port Orange FL 32127-8985. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. James, Abbie Conrad can be contacted via phone (386) 957-3905.

Contact Information

Primary practice address
1730 Dunlawton Ave Port Orange FL 32127-8985
Phone: (386) 957-3905
Fax: (386) 402-8992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7460 Florida

Profile Details

NPI number 1356630677
LBN Legal business name James, Abbie Conrad
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2011
Last updated Dec 29th, 2020 - about 5 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 1356630677 NPPES
Florida MEDICAID 766925900

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