Reynolds, Mitzi Ella

Reynolds, Mitzi Ella is an individual health care provider with primary practice located at 102 Winston Way Ste 1 , Campbellsville KY 42718-4953. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Reynolds, Mitzi Ella can be contacted via phone (270) 849-2157.

Contact Information

Primary practice address
102 Winston Way Ste 1 Campbellsville KY 42718-4953
Fax: (888) 975-1981
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 104279 Kentucky

Profile Details

NPI number 1386151421
LBN Legal business name Reynolds, Mitzi Ella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2018
Last updated Jan 9th, 2018 - about 6 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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