Musgrove, Audria Lynette

Musgrove, Audria Lynette is an sole proprietor health care provider with primary practice located at 105 Madison Sq , Minden LA 71055-3095. 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 / Professional is her primary health care specialty. Musgrove, Audria Lynette can be contacted via phone (318) 734-8553.

Contact Information

Primary practice address
105 Madison Sq Minden LA 71055-3095
Phone: (318) 734-8553
Fax: (844) 769-7920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5204 Louisiana

Profile Details

NPI number 1750756482
LBN Legal business name Musgrove, Audria Lynette
Credentials MA, LPC, BC-TMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2015
Last updated Apr 7th, 2023 - about last year

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 1750756482 NPPES
Louisiana MEDICAID 3618532
Louisiana Other 13859446

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