Poston, Marvin Burt
Poston, Marvin Burt is an individual health care provider with primary practice located at 1515 Mockingbird Ln Suite 212, Charlotte NC 28209-3236. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Poston, Marvin Burt can be contacted via phone (704) 522-8490.Contact Information
Primary practice address
1515 Mockingbird Ln Suite 212
Charlotte NC 28209-3236
Phone: (704) 522-8490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1746 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1746 | North Carolina |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1746 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1746 | North Carolina |
Profile Details
| NPI number | 1366426819 |
|---|---|
| LBN Legal business name | Poston, Marvin Burt |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1366426819 | NPPES |
| Other | VARIOUS COMPANIES | PROVIDER NUMBERS | |
| MEDICAID | 6000549 | PROVIDER NUMBERS | |
| Other | 0362H | PROVIDER NUMBERS |
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