Lowe, Persephone Roshall
Lowe, Persephone Roshall is an sole proprietor health care provider with primary practice located at 9851 Highway 178 Ste A , Olive Branch MS 38654-3214. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lowe, Persephone Roshall can be contacted via phone (662) 299-4061.Contact Information
Primary practice address
9851 Highway 178 Ste A
Olive Branch MS 38654-3214
Phone: (662) 299-4061
Fax: (662) 874-6809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1717 | Mississippi |
Profile Details
| NPI number | 1720413479 |
|---|---|
| LBN Legal business name | Lowe, Persephone Roshall |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2013 |
| Last updated | Jun 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720413479 | NPPES |
| Mississippi | MEDICAID | 822571852 |
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