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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912045584 NPPES
Florida MEDICAID 76084033

Popular Providers