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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699855585 | NPPES |
| North Carolina | MEDICAID | 8103026 |
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