Port, Molly
Port, Molly is an individual health care provider with primary practice located at 1930 Mesquite Ave Suite # 1A, Lake Havasu City AZ 86403. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Port, Molly can be contacted via phone (928) 855-4900.Contact Information
Primary practice address
1930 Mesquite Ave Suite # 1A
Lake Havasu City AZ 86403
Phone: (928) 855-4900
Fax: (928) 855-4902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-16468 | Arizona |
Profile Details
| NPI number | 1124431101 |
|---|---|
| LBN Legal business name | Port, Molly |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2014 |
| Last updated | Aug 30th, 2019 - about 5 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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