Rita, Jacqueline
Rita, Jacqueline is an sole proprietor health care provider with primary practice located at 955 Marie Cir , Ormond Beach FL 32176-4143. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rita, Jacqueline can be contacted via phone (401) 431-9870.Contact Information
Primary practice address
955 Marie Cir
Ormond Beach FL 32176-4143
Phone: (401) 431-9870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 00222 | Rhode Island |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 11788 | Florida |
Profile Details
| NPI number | 1598740896 |
|---|---|
| LBN Legal business name | Rita, Jacqueline |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Aug 13th, 2015 - about 9 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 | 1598740896 | NPPES |
| Rhode Island | Other | 412090 | BLUE CHIP |
| Rhode Island | Other | 27972-1 | BLUE CHIP |
| Rhode Island | MEDICAID | JR36967 | BLUE CHIP |
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