Lavigna, Pamela Marie
Lavigna, Pamela Marie is an sole proprietor health care provider with primary practice located at 1635 S. Ridgewood Ave, Suite 225 , South Daytona FL 32119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lavigna, Pamela Marie can be contacted via phone (386) 788-5021.Contact Information
Primary practice address
1635 S. Ridgewood Ave, Suite 225
South Daytona FL 32119
Phone: (386) 788-5021
Fax: (386) 788-5021
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001672 | Connecticut |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 17360 | Florida |
Profile Details
NPI number | 1831347350 |
---|---|
LBN Legal business name | Lavigna, Pamela Marie |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 9th, 2008 |
Last updated | Nov 8th, 2019 - 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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