Bates, Kristina Kania

Bates, Kristina Kania is an individual health care provider with primary practice located at 200 Patewood Dr Ste A200 , Greenville SC 29615-3580. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Bates, Kristina Kania can be contacted via phone (864) 454-5115.

Contact Information

Primary practice address
200 Patewood Dr Ste A200 Greenville SC 29615-3580
Phone: (864) 454-5115
Fax: (864) 454-5111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1407 South Carolina

Profile Details

NPI number 1629490701
LBN Legal business name Bates, Kristina Kania
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2014
Last updated May 27th, 2021 - about 4 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 1629490701 NPPES
South Carolina MEDICAID PS0611

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