Pinson, Preston
Pinson, Preston is an sole proprietor health care provider with primary practice located at 400 East Sheridan Rd , Melbourne FL 32901. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pinson, Preston can be contacted via phone (321) 722-5200.Contact Information
Primary practice address
400 East Sheridan Rd
Melbourne FL 32901
Phone: (321) 722-5200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | MH17276 | Florida |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 16-20955 | Florida |
Profile Details
NPI number | 1093115644 |
---|---|
LBN Legal business name | Pinson, Preston |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 2nd, 2014 |
Last updated | Jun 24th, 2021 - about 3 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 | 1093115644 | NPPES |
Florida | MEDICAID | 019524900 | |
Florida | Other | 1 |
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