Pauli, Fred Henry
Pauli, Fred Henry is an sole proprietor health care provider with primary practice located at 422 5Th Ave N , Jacksonville Beach FL 32250-5614. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pauli, Fred Henry can be contacted via phone (904) 246-2457.Contact Information
Primary practice address
422 5Th Ave N
Jacksonville Beach FL 32250-5614
Phone: (904) 246-2457
Fax: (904) 246-2152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC001249 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH 6641 | Florida |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LPC001249 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 6641 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC001249 | Georgia |
Profile Details
| NPI number | 1568691574 |
|---|---|
| LBN Legal business name | Pauli, Fred Henry |
| Credentials | L.M.H.C., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2009 |
| Last updated | Jul 11th, 2009 - about 15 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 | 1568691574 | NPPES |
| Florida | Other | MH 6641 | LICENSED MENTAL HEALTH COUNSELOR |
| Florida | Other | LPC001249 | LICENSED MENTAL HEALTH COUNSELOR |
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