Porter, Patrice

Porter, Patrice is an individual health care provider with primary practice located at 920 Shenandoah Village Drive Suite 124, Waynesboro VA 22980. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Porter, Patrice can be contacted via phone (540) 932-7800.

Contact Information

Primary practice address
920 Shenandoah Village Drive Suite 124 Waynesboro VA 22980
Phone: (540) 932-7800
Fax: (540) 932-7191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002329 Virginia

Profile Details

NPI number 1730138132
LBN Legal business name Porter, Patrice
Credentials NCC LPC LSATP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730138132 NPPES
Other 344339 MHN
MEDICAID 5413524 MHN
Other 083331 MHN
Other 202410 MHN
Other 5413524 MHN
Other 141497 MHN
Other 508398 MHN

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