Hagan, Deborah
Hagan, Deborah is an sole proprietor health care provider with primary practice located at 248 Adley Way , Greenville SC 29607-6511. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hagan, Deborah can be contacted via phone (864) 406-6041.Contact Information
Primary practice address
248 Adley Way
Greenville SC 29607-6511
Phone: (864) 406-6041
Fax: (864) 406-6042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005113 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8623 | South Carolina |
Profile Details
| NPI number | 1982647848 |
|---|---|
| LBN Legal business name | Hagan, Deborah |
| Credentials | LISW-CP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 2nd, 2020 - about 4 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 | 1982647848 | NPPES |
| South Carolina | MEDICAID | SW1601 |
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