Porter, Shane C

Porter, Shane C is an individual health care provider with primary practice located at 265 N Causeway , New Smyrna Beach FL 32169-5239. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Porter, Shane C can be contacted via phone (386) 423-9161.

Contact Information

Primary practice address
265 N Causeway New Smyrna Beach FL 32169-5239
Phone: (386) 423-9161
Fax: (386) 423-3094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH6409 Florida

Profile Details

NPI number 1801858329
LBN Legal business name Porter, Shane C
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 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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