Stainback Lcsw, Pllc, Emily Katherine

Stainback Lcsw, Pllc, Emily Katherine is an sole proprietor health care provider with primary practice located at 4311 Chilton Way , High Point NC 27265-9584. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stainback Lcsw, Pllc, Emily Katherine can be contacted via phone (336) 554-2455.

Contact Information

Primary practice address
4311 Chilton Way High Point NC 27265-9584
Phone: (336) 554-2455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X C005463 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005463 North Carolina

Profile Details

NPI number 1922182955
LBN Legal business name Stainback Lcsw, Pllc, Emily Katherine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jan 18th, 2022 - about 2 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 1922182955 NPPES
North Carolina Other 87-3165482 IRS

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