Maise, Bonny Ann
Maise, Bonny Ann is an sole proprietor health care provider with primary practice located at 13513 River Rd , Luling LA 70070-4259. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Maise, Bonny Ann can be contacted via phone (504) 912-0895.Contact Information
Primary practice address
13513 River Rd
Luling LA 70070-4259
Phone: (504) 912-0895
Fax: (985) 308-1053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2812 | Louisiana |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 79507 | Louisiana |
Profile Details
| NPI number | 1982902300 |
|---|---|
| LBN Legal business name | Maise, Bonny Ann |
| Credentials | MA, LPC, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2011 |
| Last updated | Apr 24th, 2012 - about 12 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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