Davis, Gloria Fenner
Davis, Gloria Fenner is an sole proprietor health care provider with primary practice located at 300 N Grace St Suite 228, Rocky Mount NC 27804-5345. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Gloria Fenner can be contacted via phone (252) 908-4120.Contact Information
Primary practice address
300 N Grace St Suite 228
Rocky Mount NC 27804-5345
Phone: (252) 908-4120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4321 | North Carolina |
Profile Details
| NPI number | 1194850776 |
|---|---|
| LBN Legal business name | Davis, Gloria Fenner |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jan 15th, 2014 - about 11 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 | 1194850776 | NPPES |
| North Carolina | MEDICAID | 6103387 |
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