Blount, Amy D
Blount, Amy D is an individual health care provider with primary practice located at 2245 Stantonsburg Rd Ste. O, Greenville NC 27834-2868. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blount, Amy D can be contacted via phone (252) 752-0483.Contact Information
Primary practice address
2245 Stantonsburg Rd Ste. O
Greenville NC 27834-2868
Phone: (252) 752-0483
Fax: (252) 757-3172
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6788 | North Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1365 | North Carolina |
Profile Details
NPI number | 1114100112 |
---|---|
LBN Legal business name | Blount, Amy D |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2007 |
Last updated | Feb 4th, 2009 - about 15 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 | 1114100112 | NPPES |
North Carolina | MEDICAID | 6103793 | |
North Carolina | Other | 416760 |
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