Ridgeley, Connie L

Ridgeley, Connie L is an individual health care provider with primary practice located at 3145 N Palm Aire Dr Apt 201 , Pompano Beach FL 33069-3838. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ridgeley, Connie L can be contacted via phone (954) 552-5790.

Contact Information

Primary practice address
3145 N Palm Aire Dr Apt 201 Pompano Beach FL 33069-3838
Phone: (954) 552-5790
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8728 Florida

Profile Details

NPI number 1457494650
LBN Legal business name Ridgeley, Connie L
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 18th, 2023 - about last year

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 1457494650 NPPES
Florida MEDICAID 767849500

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