Bennett, Stacie Camp
Bennett, Stacie Camp is an individual health care provider with primary practice located at 809 N Lafayette St Suite A, Shelby NC 28150-3978. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bennett, Stacie Camp can be contacted via phone (704) 301-8093.Contact Information
Primary practice address
809 N Lafayette St Suite A
Shelby NC 28150-3978
Phone: (704) 301-8093
Fax: (704) 301-8093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3813 | North Carolina |
Profile Details
| NPI number | 1902955503 |
|---|---|
| LBN Legal business name | Bennett, Stacie Camp |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jun 18th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902955503 | NPPES |
| North Carolina | MEDICAID | 6102552 |
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