Wilson Thompson, Andria Edries

Wilson Thompson, Andria Edries is an sole proprietor health care provider with primary practice located at 1810 Bashaw St Nw , Palm Bay FL 32907-9446. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wilson Thompson, Andria Edries can be contacted via phone (516) 610-6884.

Contact Information

Primary practice address
1810 Bashaw St Nw Palm Bay FL 32907-9446
Phone: (516) 610-6884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1649674441
LBN Legal business name Wilson Thompson, Andria Edries
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2014
Last updated May 8th, 2019 - about 5 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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