Mayhew, Jamal
Mayhew, Jamal is an sole proprietor health care provider with primary practice located at 3921 W Baseline Road , Laveen Village AZ 85339. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mayhew, Jamal can be contacted via phone (480) 382-0114.Contact Information
Primary practice address
3921 W Baseline Road
Laveen Village AZ 85339
Phone: (480) 382-0114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW - 11300 | Arizona |
Profile Details
| NPI number | 1881739340 |
|---|---|
| LBN Legal business name | Mayhew, Jamal |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Apr 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881739340 | NPPES |
| Arizona | MEDICAID | 065581 |
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