Sumlin, Chandra R
Sumlin, Chandra R is an individual health care provider with primary practice located at 2208 Highway 39 N , Meridian MS 39301-1021. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sumlin, Chandra R can be contacted via phone (601) 482-2400.Contact Information
Primary practice address
2208 Highway 39 N
Meridian MS 39301-1021
Phone: (601) 482-2400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | R886070 | Mississippi |
Nursing Service Providers / Registered Nurse | 163W00000X | 1-152564 | Alabama |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R886070 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1-152564 | Alabama |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0890 | Mississippi |
Profile Details
NPI number | 1437278371 |
---|---|
LBN Legal business name | Sumlin, Chandra R |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Apr 10th, 2024 - about 7 months 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 | 1437278371 | NPPES |
Mississippi | Other | 0890 | LICENSED |
Mississippi | MEDICAID | 09532822 | LICENSED |
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