Roberts, Kathy L
Roberts, Kathy L is an individual health care provider with primary practice located at 15012 Lemoyne Blvd , Biloxi MS 39532-5205. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Kathy L can be contacted via phone (228) 396-8460.Contact Information
Primary practice address
15012 Lemoyne Blvd
Biloxi MS 39532-5205
Phone: (228) 396-8460
Fax: (228) 396-1141
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C2692 | Mississippi |
Profile Details
NPI number | 1902927809 |
---|---|
LBN Legal business name | Roberts, Kathy L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2007 |
Last updated | Oct 13th, 2014 - about 10 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 | 1902927809 | NPPES |
Mississippi | MEDICAID | 07703301 | |
Mississippi | Other | C2692 |
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