Mixon, Bridget Louise
Mixon, Bridget Louise is an individual health care provider with primary practice located at 22776 Three Notch Rd Ste 102 , Lexington Park MD 20653-3369. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mixon, Bridget Louise can be contacted via phone (301) 880-4833.Contact Information
Primary practice address
22776 Three Notch Rd Ste 102
Lexington Park MD 20653-3369
Phone: (301) 880-4833
Fax: (301) 760-3472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 18001 | Maryland |
Profile Details
| NPI number | 1740763531 |
|---|---|
| LBN Legal business name | Mixon, Bridget Louise |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2018 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740763531 | NPPES |
| Maryland | Other | 18001 | BOARD OF SOCIAL WORK EXAMINERS |
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