Briscoe, Amia

Briscoe, Amia is an sole proprietor health care provider with primary practice located at 213 Patton Dr Ste A , Shelby NC 28150-4696. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Briscoe, Amia can be contacted via phone (704) 466-3022.

Contact Information

Primary practice address
213 Patton Dr Ste A Shelby NC 28150-4696
Fax: (844) 272-6196
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S9869 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A9869 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9869 North Carolina

Profile Details

NPI number 1255753281
LBN Legal business name Briscoe, Amia
Credentials LCMHCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2014
Last updated Apr 14th, 2021 - about 3 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 1255753281 NPPES
North Carolina MEDICAID 1255753281

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