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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417960279 NPPES
Virginia MEDICAID 49-45573

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