Doherty, Ann

Doherty, Ann is an sole proprietor health care provider with primary practice located at 936 W 4Th St , Winston-Salem NC 27101-2564. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Doherty, Ann can be contacted via phone (336) 655-5702.

Contact Information

Primary practice address

936 W 4Th St Winston-Salem NC 27101-2564

Phone: (336) 655-5702

Fax: (336) 724-2706

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Mental Health	101YM0800X	2052	North Carolina

Profile Details

NPI number	1336192418
LBN Legal business name	Doherty, Ann
Credentials	Licensed Professional Counselor (LPC)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	May 18th, 2006
Last updated	Oct 26th, 2007 - about 17 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

State	Type	Number	Issuer
All States	NPI	1336192418	NPPES
North Carolina	MEDICAID	6102668
North Carolina	Other	1333F

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