Burgess, David Lee
Burgess, David Lee is an sole proprietor health care provider with primary practice located at 2920 Forestville Rd , Raleigh NC 27616-8774. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Burgess, David Lee can be contacted via phone (910) 319-1827.Contact Information
Primary practice address
2920 Forestville Rd
Raleigh NC 27616-8774
Phone: (910) 319-1827
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C016489 | North Carolina |
Profile Details
NPI number | 1891361507 |
---|---|
LBN Legal business name | Burgess, David Lee |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2021 |
Last updated | Jun 19th, 2024 - about last year |
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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