Preston, Amy Nichole
Preston, Amy Nichole is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Preston, Amy Nichole can be contacted via phone (228) 863-1132.Contact Information
Primary practice address
1600 Broad Ave
Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1729 | Mississippi |
Profile Details
NPI number | 1316286305 |
---|---|
LBN Legal business name | Preston, Amy Nichole |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2013 |
Last updated | Feb 11th, 2013 - about 12 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 | 1316286305 | NPPES |
Mississippi | MEDICAID | 00018213 |
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