Boiallis, Scott Mathew

Boiallis, Scott Mathew is an sole proprietor health care provider with primary practice located at 300 Veazey Dr , Butner NC 27509-1668. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Boiallis, Scott Mathew can be contacted via phone (919) 764-7102.

Contact Information

Primary practice address
300 Veazey Dr Butner NC 27509-1668
Phone: (919) 764-7102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C008920 North Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 084072 New York

Profile Details

NPI number 1750652269
LBN Legal business name Boiallis, Scott Mathew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2012
Last updated Jan 7th, 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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