Jackson-Price, Hiza Benita Maria

Jackson-Price, Hiza Benita Maria is an sole proprietor health care provider with primary practice located at 115 Seaward Dr , Holly Ridge NC 28445-7998. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson-Price, Hiza Benita Maria can be contacted via phone (910) 265-1235.

Contact Information

Primary practice address
115 Seaward Dr Holly Ridge NC 28445-7998
Phone: (910) 265-1235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2368 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 7680 North Carolina

Profile Details

NPI number 1093065484
LBN Legal business name Jackson-Price, Hiza Benita Maria
Credentials MA, LPC, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Feb 3rd, 2019 - about 6 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 1093065484 NPPES
North Carolina Other 1093065484 NATIONAL PROVIDER IDENTIFIER ENUMERATOR

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