Mason, Alida S.

Mason, Alida S. is an sole proprietor health care provider with primary practice located at 806 Hay St. , Fayetteville NC 28305-5312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mason, Alida S. can be contacted via phone (910) 860-7008.

Contact Information

Primary practice address
806 Hay St. Fayetteville NC 28305-5312
Phone: (910) 860-7008
Fax: (910) 221-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 571 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001738 North Carolina

Profile Details

NPI number 1417900515
LBN Legal business name Mason, Alida S.
Credentials LCSW, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Dec 31st, 2018 - about 7 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 1417900515 NPPES
North Carolina Other 610925900 US DEPT OF LABOR
North Carolina Other 181889 US DEPT OF LABOR
North Carolina Other 54609 US DEPT OF LABOR
North Carolina Other 342513 US DEPT OF LABOR
North Carolina MEDICAID 6002660 US DEPT OF LABOR

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