Pugh, Phyllis E
Pugh, Phyllis E is an individual health care provider with primary practice located at 200 Medical Dr Suite A, Hampton VA 23666-1763. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Pugh, Phyllis E can be contacted via phone (757) 788-0200.Contact Information
Primary practice address
200 Medical Dr Suite A
Hampton VA 23666-1763
Phone: (757) 788-0200
Fax: (757) 788-0950
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701003667 | Virginia |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0710101505 | Virginia |
Profile Details
NPI number | 1417960279 |
---|---|
LBN Legal business name | Pugh, Phyllis E |
Credentials | LPC, CSAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2006 |
Last updated | Nov 21st, 2007 - about 18 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 | 1417960279 | NPPES |
Virginia | MEDICAID | 49-45573 |
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