Mattraw, Theresa Marie
Mattraw, Theresa Marie is an sole proprietor health care provider with primary practice located at 3686 Us Highway 331 S , Defuniak Springs FL 32435-8463. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mattraw, Theresa Marie can be contacted via phone (850) 892-8045.Contact Information
Primary practice address
3686 Us Highway 331 S
Defuniak Springs FL 32435-8463
Phone: (850) 892-8045
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | IMH10240 | Florida |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH15685 | Florida |
Profile Details
NPI number | 1821248006 |
---|---|
LBN Legal business name | Mattraw, Theresa Marie |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 24th, 2008 |
Last updated | Jan 25th, 2021 - about 3 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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