Stanley, Karolyn Stark

Stanley, Karolyn Stark is an individual health care provider with primary practice located at 504B Dexter St , Greenville NC 27834-6333. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stanley, Karolyn Stark can be contacted via phone (252) 353-1114.

Contact Information

Primary practice address
504B Dexter St Greenville NC 27834-6333
Phone: (252) 353-1114
Fax: (252) 353-1119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1700 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X COO1977 North Carolina

Profile Details

NPI number 1477523173
LBN Legal business name Stanley, Karolyn Stark
Credentials LCSW, LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 9th, 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 1477523173 NPPES
North Carolina Other 79272 BLUE CROSS/BLUE SHIELD
North Carolina MEDICAID 6002714 BLUE CROSS/BLUE SHIELD

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