Poole, Regina

Poole, Regina is an sole proprietor health care provider with primary practice located at 1910 Wells Rd , Orange Park FL 32073-6771. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Poole, Regina can be contacted via phone (904) 570-5982.

Contact Information

Primary practice address
1910 Wells Rd Orange Park FL 32073-6771
Phone: (904) 570-5982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC-0011252 Delaware
Behavioral Health & Social Service Providers / Professional 101YP2500X 7339 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13350 Florida

Profile Details

NPI number 1598178048
LBN Legal business name Poole, Regina
Credentials LMHC, LPC, LPCMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2014
Last updated Sep 13th, 2022 - about 2 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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