Green, Stephanie

Green, Stephanie is an individual health care provider with primary practice located at 2319 Saint Matthews Rd , Orangeburg SC 29118-2042. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Green, Stephanie can be contacted via phone (803) 536-1571.

Contact Information

Primary practice address
2319 Saint Matthews Rd Orangeburg SC 29118-2042
Phone: (803) 536-1571
Fax: (803) 536-1463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1053345728
LBN Legal business name Green, Stephanie
Credentials MA REHAB COUNSELING
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1053345728 NPPES
South Carolina MEDICAID 413093

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