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NPI Code Detail

MEDICARE: MR. JAMES TRENT LMHC

MEDICARE: MR. JAMES TRENT LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH 1400FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MH 1400OTHERFLMENTAL HEALTH LICENSURE

General Provider Information

NPI Number : 1073798161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES TRENT LMHC
Provider Business Mailing Address
First Line : 9999 CHEMSTRAND RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-2724
Country : US
Telephone Number : 850-471-3430
Fax Number : 850-473-3986
Provider Business Practice Location Address
First Line : 9999 CHEMSTRAND RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-2724
Country : US
Telephone Number : 850-471-3430
Fax Number : 850-473-3986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2008
Last Update Date : 01/08/2008

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