Ott, Melody

Ott, Melody is an sole proprietor health care provider with primary practice located at 248 Southpark Cir E , St Augustine FL 32086-5137. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ott, Melody can be contacted via phone (904) 797-5680.

Contact Information

Primary practice address
248 Southpark Cir E St Augustine FL 32086-5137
Phone: (904) 797-5680
Fax: (904) 797-5681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6618 Florida

Profile Details

NPI number 1225011869
LBN Legal business name Ott, Melody
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Apr 29th, 2013 - about 11 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 1225011869 NPPES
Florida Other Z010N BLUE CROSS BLUE SHIELD

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