Nesbit, Revella H
Nesbit, Revella H is an individual health care provider with primary practice located at 19900 S Main St Ste 5 , Cornelius NC 28031-6513. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nesbit, Revella H can be contacted via phone (704) 651-6583.Contact Information
Primary practice address
19900 S Main St Ste 5
Cornelius NC 28031-6513
Phone: (704) 651-6583
Fax: (704) 392-3586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3350 | North Carolina |
Profile Details
| NPI number | 1548248495 |
|---|---|
| LBN Legal business name | Nesbit, Revella H |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2006 |
| Last updated | Jun 4th, 2009 - about 15 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 | 1548248495 | NPPES |
| North Carolina | MEDICAID | 6102253 |
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