Ball, Carolyn M.

Ball, Carolyn M. is an individual health care provider with primary practice located at 890 Briarwood Dr , Myrtle Beach SC 29572-5740. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ball, Carolyn M. can be contacted via phone (843) 272-4114.

Contact Information

Primary practice address
890 Briarwood Dr Myrtle Beach SC 29572-5740
Phone: (843) 272-4114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4735 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 801 North Carolina

Profile Details

NPI number 1861403842
LBN Legal business name Ball, Carolyn M.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 9th, 2007 - about 18 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 1861403842 NPPES
North Carolina MEDICAID 6102726

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