Stavey, Julie Douglas
Stavey, Julie Douglas is an individual health care provider with primary practice located at 3245 Henderson Dr , Jacksonville NC 28546-5251. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stavey, Julie Douglas can be contacted via phone (910) 388-5232.Contact Information
Primary practice address
3245 Henderson Dr
Jacksonville NC 28546-5251
Phone: (910) 388-5232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001983 | North Carolina |
Profile Details
| NPI number | 1982741153 |
|---|---|
| LBN Legal business name | Stavey, Julie Douglas |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Dec 17th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982741153 | NPPES |
| North Carolina | MEDICAID | 6106217 |
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