Nodine, Patty Ann

Nodine, Patty Ann is an individual health care provider with primary practice located at 1032 Union St , Spartanburg SC 29302-3318. 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. Nodine, Patty Ann can be contacted via phone (864) 205-1110.

Contact Information

Primary practice address
1032 Union St Spartanburg SC 29302-3318
Phone: (864) 205-1110
Fax: (864) 310-4339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12033036 South Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 111 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 6880 South Carolina

Profile Details

NPI number 1538407028
LBN Legal business name Nodine, Patty Ann
Credentials LPC, LAC, AADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Jul 28th, 2021 - about 4 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 1538407028 NPPES
South Carolina MEDICAID PC2008
South Carolina Other 12033036

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