Harrell, Jimmy Ballard

Harrell, Jimmy Ballard is an sole proprietor health care provider with primary practice located at 1706 Wayne Memorial Dr , Goldsboro NC 27534-2240. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Harrell, Jimmy Ballard can be contacted via phone (919) 734-6676.

Contact Information

Primary practice address
1706 Wayne Memorial Dr Goldsboro NC 27534-2240
Phone: (919) 734-6676
Fax: (919) 734-9050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1514 North Carolina

Profile Details

NPI number 1972096451
LBN Legal business name Harrell, Jimmy Ballard
Credentials HSP-PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2018
Last updated Jun 11th, 2018 - about 7 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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