Bass, Ladonna K

Bass, Ladonna K is an individual health care provider with primary practice located at 1384 Likhaw Road , Lumberton NC 28358. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bass, Ladonna K can be contacted via phone (910) 737-4004.

Contact Information

Primary practice address
1384 Likhaw Road Lumberton NC 28358
Phone: (910) 737-4004
Fax: (910) 737-9650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 797 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 797 North Carolina

Profile Details

NPI number 1750550844
LBN Legal business name Bass, Ladonna K
Credentials LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2008
Last updated Apr 2nd, 2012 - about 13 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 1750550844 NPPES
North Carolina MEDICAID 6111835

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