Nak, Carol Loucks
Nak, Carol Loucks is an sole proprietor health care provider with primary practice located at 770 W Granada Blvd Suite 206, Ormond Beach FL 32174-5188. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nak, Carol Loucks can be contacted via phone (386) 673-8494.Contact Information
Primary practice address
770 W Granada Blvd Suite 206
Ormond Beach FL 32174-5188
Phone: (386) 673-8494
Fax: (386) 672-8381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY4973 | Florida |
Profile Details
| NPI number | 1336256627 |
|---|---|
| LBN Legal business name | Nak, Carol Loucks |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1336256627 | NPPES |
| Florida | Other | MT1355 | STATE LICENSE |
| Florida | Other | PY4973 | STATE LICENSE |
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