Spooner, Paula K
Spooner, Paula K is an sole proprietor health care provider with primary practice located at 703 W Canal St , Picayune MS 39466-3918. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Spooner, Paula K can be contacted via phone (601) 749-9477.Contact Information
Primary practice address
703 W Canal St
Picayune MS 39466-3918
Phone: (601) 749-9477
Fax: (601) 889-1265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C5828 | Mississippi |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | C5828 | Mississippi |
Profile Details
| NPI number | 1750471108 |
|---|---|
| LBN Legal business name | Spooner, Paula K |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Jan 23rd, 2014 - about 12 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 | 1750471108 | NPPES |
| Mississippi | MEDICAID | 05933296 |
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