Correll, Elizabeth Echeverria
Correll, Elizabeth Echeverria is an sole proprietor health care provider with primary practice located at 206 Joe Knox Ave Unit F, Mooresville NC 28117. 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 / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Correll, Elizabeth Echeverria can be contacted via phone (704) 754-2050.Contact Information
Primary practice address
206 Joe Knox Ave Unit F
Mooresville NC 28117
Phone: (704) 754-2050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 900 | North Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 888 | North Carolina |
Profile Details
| NPI number | 1487781969 |
|---|---|
| LBN Legal business name | Correll, Elizabeth Echeverria |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jan 27th, 2010 - about 15 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 | 1487781969 | NPPES |
| North Carolina | MEDICAID | 6105136 |
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