Rudisill, Laura Lee

Rudisill, Laura Lee is an sole proprietor health care provider with primary practice located at 215 S Washington St Ste 104 , Shelby NC 28150-4675. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rudisill, Laura Lee can be contacted via phone (704) 482-2977.

Contact Information

Primary practice address
215 S Washington St Ste 104 Shelby NC 28150-4675
Phone: (704) 482-2977
Fax: (704) 482-3501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3261 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X S3261 North Carolina

Profile Details

NPI number 1861495319
LBN Legal business name Rudisill, Laura Lee
Credentials LCMHC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2005
Last updated Sep 9th, 2020 - 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 1861495319 NPPES
North Carolina Other 1387Y BCBS
North Carolina MEDICAID 6102271 BCBS

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