Crews, Carmella Dixon
Crews, Carmella Dixon is an sole proprietor health care provider with primary practice located at 625 E 2Nd Ave Suite 9, Gastonia NC 28054-0470. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Crews, Carmella Dixon can be contacted via phone (704) 701-6053.Contact Information
Primary practice address
625 E 2Nd Ave Suite 9
Gastonia NC 28054-0470
Phone: (704) 701-6053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4629 | North Carolina |
Profile Details
| NPI number | 1740485242 |
|---|---|
| LBN Legal business name | Crews, Carmella Dixon |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1740485242 | NPPES |
| North Carolina | MEDICAID | 6102807 |
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