Mccarty, Mindy Lynn
Mccarty, Mindy Lynn is an sole proprietor health care provider with primary practice located at 194 Marley Blue Dr , Little River SC 29566-5400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mccarty, Mindy Lynn can be contacted via phone (404) 484-4665.Contact Information
Primary practice address
194 Marley Blue Dr
Little River SC 29566-5400
Phone: (404) 484-4665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1020 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC013050 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC9062PC | South Carolina |
Profile Details
| NPI number | 1720643265 |
|---|---|
| LBN Legal business name | Mccarty, Mindy Lynn |
| Credentials | CDAC-II, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2019 |
| Last updated | Apr 17th, 2024 - about last year |
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 | 1720643265 | NPPES |
| South Carolina | Other | LPC9062PC | LPC |
| South Carolina | Other | 1020 | LPC |
| South Carolina | Other | LPC013050 | LPC |
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