Harry, Elizabeth

Harry, Elizabeth is an sole proprietor health care provider with primary practice located at 225 W Pennsylvania Ave , Southern Pines NC 28387-5430. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harry, Elizabeth can be contacted via phone (910) 986-0935.

Contact Information

Primary practice address
225 W Pennsylvania Ave Southern Pines NC 28387-5430
Fax: (910) 986-0935
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I05345 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006021 North Carolina

Profile Details

NPI number 1639150014
LBN Legal business name Harry, Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Jan 25th, 2024 - about last year

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 1639150014 NPPES
New Mexico MEDICAID 41284755

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