Eaves, Andrea
Eaves, Andrea is an sole proprietor health care provider with primary practice located at 353 W 2Nd St , Clayton NC 27520-2336. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eaves, Andrea can be contacted via phone (919) 271-0135.Contact Information
Primary practice address
353 W 2Nd St
Clayton NC 27520-2336
Phone: (919) 271-0135
Fax: (888) 503-6822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004198 | North Carolina |
Profile Details
| NPI number | 1700837630 |
|---|---|
| LBN Legal business name | Eaves, Andrea |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Sep 13th, 2012 - about 12 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 | 1700837630 | NPPES |
| North Carolina | Other | 141C3 | BCBS INDIVIDUAL |
| North Carolina | MEDICAID | 6003393 | BCBS INDIVIDUAL |
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