Brockmann, Carolyn Thompson

Brockmann, Carolyn Thompson is an sole proprietor health care provider with primary practice located at 2240 Setliff Dr , High Point NC 27265-8011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Brockmann, Carolyn Thompson can be contacted via phone (336) 454-5502.

Contact Information

Primary practice address
2240 Setliff Dr High Point NC 27265-8011
Phone: (336) 454-5502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 33 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 595 North Carolina

Profile Details

NPI number 1699855585
LBN Legal business name Brockmann, Carolyn Thompson
Credentials MED, LPC, NC-LCAS,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1699855585 NPPES
North Carolina MEDICAID 8103026

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