Hayhurst-Chacon, Nina Lea

Hayhurst-Chacon, Nina Lea is an sole proprietor health care provider with primary practice located at 1920 Tradd Ct , Wilmington NC 28401-6637. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hayhurst-Chacon, Nina Lea can be contacted via phone (910) 343-6890.

Contact Information

Primary practice address
1920 Tradd Ct Wilmington NC 28401-6637
Phone: (910) 343-6890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3839 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3839 North Carolina

Profile Details

NPI number 1043544547
LBN Legal business name Hayhurst-Chacon, Nina Lea
Credentials M.A., LPA, HSP-PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2009
Last updated Nov 10th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043544547 NPPES
North Carolina MEDICAID 6107635

Popular Providers