Fosmire, Theresa Lynn

Fosmire, Theresa Lynn is an sole proprietor health care provider with primary practice located at 110 Williams St , Hendersonville NC 28792-4543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fosmire, Theresa Lynn can be contacted via phone (828) 692-7300.

Contact Information

Primary practice address
110 Williams St Hendersonville NC 28792-4543
Fax: (828) 692-7710
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002319 North Carolina

Profile Details

NPI number 1063463693
LBN Legal business name Fosmire, Theresa Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 16th, 2011 - about 13 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 1063463693 NPPES
North Carolina MEDICAID 6002699

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