Davis, Stephanie B

Davis, Stephanie B is an sole proprietor health care provider with primary practice located at 320 Sword St. , Lebanon VA 24266. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Stephanie B can be contacted via phone (276) 415-9483.

Contact Information

Primary practice address
320 Sword St. Lebanon VA 24266
Phone: (276) 415-9483
Fax: (276) 889-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002618 Virginia

Profile Details

NPI number 1417943077
LBN Legal business name Davis, Stephanie B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Mar 6th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417943077 NPPES
Virginia MEDICAID 004945522
Virginia Other 140758

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