Peavy, Paul Thomas
Peavy, Paul Thomas is an sole proprietor health care provider with primary practice located at 1678 Copperfield Cir , Tallahassee FL 32312-3791. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Peavy, Paul Thomas can be contacted via phone (850) 264-5033.Contact Information
Primary practice address
1678 Copperfield Cir
Tallahassee FL 32312-3791
Phone: (850) 264-5033
Fax: (850) 907-0237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH4440 | Florida |
Profile Details
| NPI number | 1912045584 |
|---|---|
| LBN Legal business name | Peavy, Paul Thomas |
| Credentials | MS, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1912045584 | NPPES |
| Florida | MEDICAID | 76084033 |
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