Porter, Stephanie Ann
Porter, Stephanie Ann is an sole proprietor health care provider with primary practice located at 609 N Washington St , Shelby NC 28150-3810. 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. Porter, Stephanie Ann can be contacted via phone (704) 476-4105.Contact Information
Primary practice address
609 N Washington St
Shelby NC 28150-3810
Phone: (704) 476-4105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1052 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6437 | North Carolina |
Profile Details
| NPI number | 1548289333 |
|---|---|
| LBN Legal business name | Porter, Stephanie Ann |
| Credentials | PHD, LPCS, CCS, MAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 6th, 2017 - about 8 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 | 1548289333 | NPPES |
| North Carolina | MEDICAID | 6107282 | |
| North Carolina | Other | 046TG |
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