Moldovanyi, Carolyn

Moldovanyi, Carolyn is an sole proprietor health care provider with primary practice located at 2807 N 10Th St Ste 8 , St Augustine FL 32084-1871. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Moldovanyi, Carolyn can be contacted via phone (904) 994-0903.

Contact Information

Primary practice address
2807 N 10Th St Ste 8 St Augustine FL 32084-1871
Phone: (904) 994-0903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH6273 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2275 Florida

Profile Details

NPI number 1639233026
LBN Legal business name Moldovanyi, Carolyn
Credentials LMHC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 28th, 2021 - about 4 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 1639233026 NPPES
Florida MEDICAID 764719100

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