Garner, Karen Yolanda Clemmons
Garner, Karen Yolanda Clemmons is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Garner, Karen Yolanda Clemmons can be contacted via phone (336) 718-3694.Contact Information
Primary practice address
3333 Silas Creek Pkwy
Winston Salem NC 27103-3013
Phone: (336) 718-3694
Fax: (336) 718-9892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LGP194 | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC2228 | Maryland |
Profile Details
| NPI number | 1295781599 |
|---|---|
| LBN Legal business name | Garner, Karen Yolanda Clemmons |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295781599 | NPPES |
| Maryland | Other | 259147-000 | MAGELLAN-ESPS GROUP# |
| Maryland | MEDICAID | 609550004 | MAGELLAN-ESPS GROUP# |
| Maryland | MEDICAID | 609550001 | MAGELLAN-ESPS GROUP# |
| Maryland | Other | 522156095 | MAGELLAN-ESPS GROUP# |
| Maryland | Other | 517251 | MAGELLAN-ESPS GROUP# |
| Maryland | Other | 892908-01 | MAGELLAN-ESPS GROUP# |
| Maryland | MEDICAID | 986965400 | MAGELLAN-ESPS GROUP# |
| Maryland | MEDICAID | 609550002 | MAGELLAN-ESPS GROUP# |
| Maryland | Other | LM49EA | MAGELLAN-ESPS GROUP# |
| Maryland | Other | 0034 | MAGELLAN-ESPS GROUP# |
| Maryland | Other | 522156095 | MAGELLAN-ESPS GROUP# |
| Maryland | Other | R968 | MAGELLAN-ESPS GROUP# |
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