Clemmons, Brian Mark

Clemmons, Brian Mark is an individual health care provider with primary practice located at 2215 Langhorne Rd , Lynchburg VA 24501-1121. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clemmons, Brian Mark can be contacted via phone (434) 948-4831.

Contact Information

Primary practice address
2215 Langhorne Rd Lynchburg VA 24501-1121
Phone: (434) 948-4831
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003128 Virginia

Profile Details

NPI number 1134184518
LBN Legal business name Clemmons, Brian Mark
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 23rd, 2022 - about 2 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 1134184518 NPPES
Virginia Other 105735 ANTHEM
Virginia Other O83784 ANTHEM
Virginia MEDICAID 105735 ANTHEM
Virginia MEDICAID O83784 ANTHEM
Virginia MEDICAID 004945115 ANTHEM
Virginia Other 105735 ANTHEM

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