Lung, Deborah S

Lung, Deborah S is an sole proprietor health care provider with primary practice located at 4701 Park Rd , Charlotte NC 28209-3217. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lung, Deborah S can be contacted via phone (803) 431-0037.

Contact Information

Primary practice address
4701 Park Rd Charlotte NC 28209-3217
Phone: (803) 431-0037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701002600 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701002600 Virginia

Profile Details

NPI number 1467597641
LBN Legal business name Lung, Deborah S
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 3rd, 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 1467597641 NPPES
Virginia MEDICAID 004945166
Virginia Other 400231

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