Shea, James Kevin

Shea, James Kevin is an sole proprietor health care provider with primary practice located at 7455 Cross County Rd Ste 6 , North Charleston SC 29418. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Shea, James Kevin can be contacted via phone (843) 327-4444.

Contact Information

Primary practice address
7455 Cross County Rd Ste 6 North Charleston SC 29418
Phone: (843) 327-4444
Fax: (866) 263-4021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5179 South Carolina

Profile Details

NPI number 1386820629
LBN Legal business name Shea, James Kevin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2008
Last updated Jul 12th, 2018 - about 6 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 1386820629 NPPES
South Carolina MEDICAID 1760596480

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