Detweiler, Elizabeth

Detweiler, Elizabeth is an sole proprietor health care provider with primary practice located at 839 Wake Forest Business Park Ste C , Wake Forest NC 27587-7335. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Detweiler, Elizabeth can be contacted via phone (919) 622-5776.

Contact Information

Primary practice address
839 Wake Forest Business Park Ste C Wake Forest NC 27587-7335
Phone: (919) 622-5776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006918 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1413 North Carolina

Profile Details

NPI number 1306992193
LBN Legal business name Detweiler, Elizabeth
Credentials LCAS, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Aug 15th, 2010 - about 14 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 1306992193 NPPES
North Carolina MEDICAID 6112148

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