Swan, Kambi Ann
Swan, Kambi Ann is an sole proprietor health care provider with primary practice located at 1210 Davie Ave , Statesville NC 28677-3512. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Swan, Kambi Ann can be contacted via phone (704) 437-1079.Contact Information
Primary practice address
1210 Davie Ave
Statesville NC 28677-3512
Phone: (704) 437-1079
Fax: (704) 870-3122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4881 | North Carolina |
Profile Details
| NPI number | 1235271503 |
|---|---|
| LBN Legal business name | Swan, Kambi Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Oct 9th, 2018 - about 6 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 | 1235271503 | NPPES |
| North Carolina | Other | 139TW | BCBS |
| North Carolina | Other | 11612989 | BCBS |
| North Carolina | MEDICAID | 6102677 | BCBS |
| North Carolina | Other | E3125 | BCBS |
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