Harrell, Evans Emmett

Harrell, Evans Emmett is an sole proprietor health care provider with primary practice located at 852 Country Club Road , Rocky Mount NC 27804. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Harrell, Evans Emmett can be contacted via phone (252) 443-4401.

Contact Information

Primary practice address
852 Country Club Road Rocky Mount NC 27804
Phone: (252) 443-4401
Fax: (252) 972-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0622 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0622 North Carolina

Profile Details

NPI number 1801984646
LBN Legal business name Harrell, Evans Emmett
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Feb 13th, 2017 - about 8 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 1801984646 NPPES
North Carolina Other 03712 BCBS
North Carolina MEDICAID 6000111 BCBS

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