Walls, Virginia

Walls, Virginia is an individual health care provider with primary practice located at 4300 Bayou Blvd Ste 21 , Pensacola FL 32503-2671. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Walls, Virginia can be contacted via phone (850) 462-3899.

Contact Information

Primary practice address
4300 Bayou Blvd Ste 21 Pensacola FL 32503-2671
Phone: (850) 462-3899
Fax: (888) 745-2296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH13715 Florida
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 13715 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13715 Florida

Profile Details

NPI number 1346613114
LBN Legal business name Walls, Virginia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2015
Last updated May 23rd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346613114 NPPES
Florida Other 0KPZJ FLORIDA BLUE

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