Mcconley, Regina Lynette

Mcconley, Regina Lynette is an individual health care provider with primary practice located at 5617 Maxwell Pl , Wilmington NC 28409-2966. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcconley, Regina Lynette can be contacted via phone (910) 742-9243.

Contact Information

Primary practice address
5617 Maxwell Pl Wilmington NC 28409-2966
Fax: (888) 746-1787
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4021 North Carolina
Behavioral Health & Social Service Providers / Health 103TH0004X 4021 North Carolina

Profile Details

NPI number 1841504388
LBN Legal business name Mcconley, Regina Lynette
Credentials PHD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2010
Last updated Oct 24th, 2013 - about 11 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 1841504388 NPPES
North Carolina Other 3849920 CIGNA BEHAVIORAL HEALTH
North Carolina Other 9179802 CIGNA BEHAVIORAL HEALTH
North Carolina Other 1674Y CIGNA BEHAVIORAL HEALTH
North Carolina MEDICAID 6001318 CIGNA BEHAVIORAL HEALTH
North Carolina Other P01143643 CIGNA BEHAVIORAL HEALTH

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