Southern, James H

Southern, James H is an individual health care provider with primary practice located at 2808 S Croatan Hwy Suite A, Nags Head NC 27959-9024. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Southern, James H can be contacted via phone (252) 449-4011.

Contact Information

Primary practice address
2808 S Croatan Hwy Suite A Nags Head NC 27959-9024
Phone: (252) 449-4011
Fax: (252) 449-4050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3091 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 3091 North Carolina

Profile Details

NPI number 1285708412
LBN Legal business name Southern, James H
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1285708412 NPPES
North Carolina Other 138TY BCBS PROVIDER NUMBER
North Carolina MEDICAID 6102181 BCBS PROVIDER NUMBER

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