Stephenson, Kenya

Stephenson, Kenya is an sole proprietor health care provider with primary practice located at 314 Conley St , Greenville NC 27834-1614. She recently has 3 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 / Behavioral Analyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stephenson, Kenya can be contacted via phone (252) 916-1233.

Contact Information

Primary practice address
314 Conley St Greenville NC 27834-1614
Phone: (252) 916-1233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X North Carolina
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X North Carolina

Profile Details

NPI number 1871984435
LBN Legal business name Stephenson, Kenya
Credentials OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2015
Last updated Feb 19th, 2015 - about 9 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 1871984435 NPPES
North Carolina MEDICAID 1871984435

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