Shepherd, Scott A

Shepherd, Scott A is an individual health care provider with primary practice located at 403 Stoney Landing Road , Moncks Corner SC 29461-3967. He 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shepherd, Scott A can be contacted via phone (843) 761-8282.

Contact Information

Primary practice address
403 Stoney Landing Road Moncks Corner SC 29461-3967
Phone: (843) 761-8282
Fax: (843) 761-7308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00082652 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7367 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1821229576
LBN Legal business name Shepherd, Scott A
Credentials HUMAN SERVICES COORD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2009
Last updated Jan 13th, 2011 - about 13 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 1821229576 NPPES
North Carolina MEDICAID 6005782

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