Martin, Amy C
Martin, Amy C is an individual health care provider with primary practice located at 5133 Rivers Ave , N Charleston SC 29406-6338. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martin, Amy C can be contacted via phone (843) 789-1786.Contact Information
Primary practice address
5133 Rivers Ave
N Charleston SC 29406-6338
Phone: (843) 789-1786
Fax: (843) 958-1263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6621 | South Carolina |
Profile Details
| NPI number | 1013365972 |
|---|---|
| LBN Legal business name | Martin, Amy C |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2016 |
| Last updated | Aug 12th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013365972 | NPPES |
| South Carolina | MEDICAID | PC1839 |
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