Perez-Betancourt, Mirta

Perez-Betancourt, Mirta is an sole proprietor health care provider with primary practice located at 207 E Main St Ofc 5, Norristown PA 19401-5068. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Perez-Betancourt, Mirta can be contacted via phone (610) 334-2200.

Contact Information

Primary practice address
207 E Main St Ofc 5 Norristown PA 19401-5068
Phone: (610) 334-2200
Fax: (610) 630-0426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC004124 Pennsylvania

Profile Details

NPI number 1508945874
LBN Legal business name Perez-Betancourt, Mirta
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jan 14th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508945874 NPPES
Pennsylvania MEDICAID 1026945490001

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