Thomas, Donnette Dawn
Thomas, Donnette Dawn is an individual health care provider with primary practice located at 331 E Main St Ste 200 , Rock Hill SC 29730-5384. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Thomas, Donnette Dawn can be contacted via phone (803) 302-7688.Contact Information
Primary practice address
331 E Main St Ste 200
Rock Hill SC 29730-5384
Phone: (803) 302-7688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1043810450 |
|---|---|
| LBN Legal business name | Thomas, Donnette Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2020 |
| Last updated | Oct 27th, 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 | 1043810450 | NPPES |
| South Carolina | MEDICAID | GP9563 |
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