Martin, Richard Grant

Martin, Richard Grant is an sole proprietor health care provider with primary practice located at 1232 Sheppard St , Minden LA 71055-3460. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Martin, Richard Grant can be contacted via phone (318) 469-9132.

Contact Information

Primary practice address
1232 Sheppard St Minden LA 71055-3460
Phone: (318) 469-9132
Fax: (318) 377-9979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 137 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 2032 Louisiana

Profile Details

NPI number 1063562494
LBN Legal business name Martin, Richard Grant
Credentials M.A.,LPC,LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Nov 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063562494 NPPES
Louisiana MEDICAID 5469534
Louisiana Other 1063562494

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