Shields, Vivian Tarvin
Shields, Vivian Tarvin is an sole proprietor health care provider with primary practice located at 263 Forest Valley Dr , Jackson MS 39212-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shields, Vivian Tarvin can be contacted via phone (601) 371-8937.Contact Information
Primary practice address
263 Forest Valley Dr
Jackson MS 39212-3800
Phone: (601) 371-8937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C0269 | Mississippi |
Profile Details
| NPI number | 1497891121 |
|---|---|
| LBN Legal business name | Shields, Vivian Tarvin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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