Blount, Nametris

Blount, Nametris is an sole proprietor health care provider with primary practice located at 118 Academy Street , Fort Mill SC 29715. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blount, Nametris can be contacted via phone (704) 350-5394.

Contact Information

Primary practice address
118 Academy Street Fort Mill SC 29715
Fax:
Website:

Profile Details

NPI number 1639455488
LBN Legal business name Blount, Nametris
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2011
Last updated Jun 29th, 2020 - 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 1639455488 NPPES
South Carolina MEDICAID PC1370
South Carolina Other 2288
South Carolina Other C.1801012
South Carolina Other LPC010060
South Carolina Other 0701007567
South Carolina Other 8855
South Carolina Other 5370
South Carolina MEDICAID 6115105
South Carolina Other 6401016479

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