Maxwell, Candace

Maxwell, Candace is an sole proprietor health care provider with primary practice located at 1150 N 12Th Ave , Pensacola FL 32501-3308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Maxwell, Candace can be contacted via phone (850) 290-7768.

Contact Information

Primary practice address
1150 N 12Th Ave Pensacola FL 32501-3308
Phone: (850) 290-7768
Fax: (850) 273-6495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 9224 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9224 Florida

Profile Details

NPI number 1255560769
LBN Legal business name Maxwell, Candace
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2009
Last updated Jun 16th, 2018 - about 6 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 1255560769 NPPES
Florida MEDICAID 01087230

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