Peacock, Laquita

Peacock, Laquita is an individual health care provider with primary practice located at 2504 Browning Road 520 , Greenwood MS 38930-6022. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Peacock, Laquita can be contacted via phone (662) 453-6211.

Contact Information

Primary practice address
2504 Browning Road 520 Greenwood MS 38930-6022
Phone: (662) 453-6211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CH2523 Mississippi

Profile Details

NPI number 1649632613
LBN Legal business name Peacock, Laquita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Mar 28th, 2016 - about 8 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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