Booth, Heather Renee

Booth, Heather Renee is an individual health care provider with primary practice located at 28 Mallard Ct , Beckley WV 25801-3664. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Booth, Heather Renee can be contacted via phone (304) 252-8409.

Contact Information

Primary practice address
28 Mallard Ct Beckley WV 25801-3664
Fax: (304) 252-0022
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X AP02943057 West Virginia

Profile Details

NPI number 1326320391
LBN Legal business name Booth, Heather Renee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 14 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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