Moriarty, Jill
Moriarty, Jill is an sole proprietor health care provider with primary practice located at 67 Water St Suite #205, Laconia NH 03246-3300. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moriarty, Jill can be contacted via phone (603) 455-1708.Contact Information
Primary practice address
67 Water St Suite #205
Laconia NH 03246-3300
Phone: (603) 455-1708
Fax: (603) 253-9917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 595 | New Hampshire |
Profile Details
| NPI number | 1942364492 |
|---|---|
| LBN Legal business name | Moriarty, Jill |
| Credentials | MA.,LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 17th, 2009 - about 16 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 | 1942364492 | NPPES |
| New Hampshire | MEDICAID | 30426883 | |
| New Hampshire | Other | 889985A | |
| New Hampshire | Other | 7706646Y0NH01 |
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