Mclaurin, Phyllis Marie
Mclaurin, Phyllis Marie is an sole proprietor health care provider with primary practice located at 1435 Crossways Blvd Suite 109, Chesapeake VA 23320-2896. 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mclaurin, Phyllis Marie can be contacted via phone (757) 410-0072.Contact Information
Primary practice address
1435 Crossways Blvd Suite 109
Chesapeake VA 23320-2896
Phone: (757) 410-0072
Fax: (757) 410-7290
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710101598 | Virginia |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904007833 | Virginia |
Profile Details
NPI number | 1861749129 |
---|---|
LBN Legal business name | Mclaurin, Phyllis Marie |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 6th, 2012 |
Last updated | Aug 6th, 2012 - 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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