Elliott, Stephen Seals

Elliott, Stephen Seals is an individual health care provider with primary practice located at 3205 Randall Pkwy Ste 105 , Wilmington NC 28403-2565. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Elliott, Stephen Seals can be contacted via phone (910) 742-9243.

Contact Information

Primary practice address
3205 Randall Pkwy Ste 105 Wilmington NC 28403-2565
Phone: (910) 742-9243
Fax: (888) 746-1787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1010 North Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1010 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 283 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1417009937
LBN Legal business name Elliott, Stephen Seals
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jan 30th, 2019 - about 5 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 1417009937 NPPES
North Carolina Other P01126726 RR MEDICARE
North Carolina MEDICAID 6000042 RR MEDICARE

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