Lawrence, Viola Delois

Lawrence, Viola Delois is an sole proprietor health care provider with primary practice located at 1908 Racepath Ave , Conway SC 29527-5453. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lawrence, Viola Delois can be contacted via phone (843) 457-5553.

Contact Information

Primary practice address
1908 Racepath Ave Conway SC 29527-5453
Phone: (843) 457-5553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1104017 South Carolina

Profile Details

NPI number 1487991832
LBN Legal business name Lawrence, Viola Delois
Credentials MS, CAC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 12 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 1487991832 NPPES
South Carolina MEDICAID 1104017

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