Long-Bane, Carolyn Tyrease

Long-Bane, Carolyn Tyrease is an individual health care provider with primary practice located at 1906 S Main St Ste 120 , Wake Forest NC 27587-5033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Long-Bane, Carolyn Tyrease can be contacted via phone (919) 562-1080.

Contact Information

Primary practice address
1906 S Main St Ste 120 Wake Forest NC 27587-5033
Phone: (919) 562-1080
Fax: (919) 570-3243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904001830 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004810 North Carolina

Profile Details

NPI number 1215028741
LBN Legal business name Long-Bane, Carolyn Tyrease
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 23rd, 2018 - 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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