Padmore, Dominique

Padmore, Dominique is an sole proprietor health care provider with primary practice located at 609 Route 109 , West Babylon NY 11704-5068. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Padmore, Dominique can be contacted via phone (631) 256-7461.

Contact Information

Primary practice address
609 Route 109 West Babylon NY 11704-5068
Phone: (631) 256-7461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 008894 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 912324655 New York

Profile Details

NPI number 1871982587
LBN Legal business name Padmore, Dominique
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2015
Last updated Mar 23rd, 2020 - about 5 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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