Taravella, Cicely C.
Taravella, Cicely C. is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave Trp/Mental Health (116A2), Jackson MS 39216-5116. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Taravella, Cicely C. can be contacted via phone (601) 362-4471.Contact Information
Primary practice address
1500 E Woodrow Wilson Ave Trp/Mental Health (116A2)
Jackson MS 39216-5116
Phone: (601) 362-4471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 52903 | Mississippi |
Profile Details
| NPI number | 1376894212 |
|---|---|
| LBN Legal business name | Taravella, Cicely C. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2012 |
| Last updated | Oct 1st, 2012 - about 14 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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