Heath-Shepard, Holly

Heath-Shepard, Holly is an sole proprietor health care provider with primary practice located at 327 Staples Dr , Rolesville NC 27571-9464. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heath-Shepard, Holly can be contacted via phone (919) 946-5453.

Contact Information

Primary practice address
327 Staples Dr Rolesville NC 27571-9464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005067 North Carolina

Profile Details

NPI number 1972538627
LBN Legal business name Heath-Shepard, Holly
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972538627 NPPES
North Carolina MEDICAID 6106345

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