Brumfield, Lacresha
Brumfield, Lacresha is an sole proprietor health care provider with primary practice located at 1108 Lawhorn Rd , Blythewood SC 29016-8974. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brumfield, Lacresha can be contacted via phone (704) 537-1022.Contact Information
Primary practice address
1108 Lawhorn Rd
Blythewood SC 29016-8974
Phone: (704) 537-1022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C009525 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11415 | South Carolina |
Profile Details
| NPI number | 1003214461 |
|---|---|
| LBN Legal business name | Brumfield, Lacresha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2014 |
| Last updated | Mar 7th, 2016 - about 8 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 | 1003214461 | NPPES |
| North Carolina | MEDICAID | 1831596840 | |
| North Carolina | MEDICAID | 1831596840 |
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