Graham, Linda B

Graham, Linda B is an individual health care provider with primary practice located at 200 Patewood Dr Suite A320, Greenville SC 29615-3593. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Graham, Linda B can be contacted via phone (864) 454-5100.

Contact Information

Primary practice address
200 Patewood Dr Suite A320 Greenville SC 29615-3593
Phone: (864) 454-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6507 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 006507 South Carolina

Profile Details

NPI number 1407897507
LBN Legal business name Graham, Linda B
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 15th, 2018 - about 6 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 1407897507 NPPES
South Carolina MEDICAID QM0756

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