Oldmixon, Petagay Malonie

Oldmixon, Petagay Malonie is an sole proprietor health care provider with primary practice located at 110 S Apopka Ave , Inverness FL 34452-4837. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Oldmixon, Petagay Malonie can be contacted via phone (352) 419-4856.

Contact Information

Primary practice address
110 S Apopka Ave Inverness FL 34452-4837
Phone: (352) 419-4856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770265704
LBN Legal business name Oldmixon, Petagay Malonie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2023
Last updated Aug 1st, 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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