Thompson-Bryant, Traci Latrelle

Thompson-Bryant, Traci Latrelle is an sole proprietor health care provider with primary practice located at 120 Springhall Dr Ste D , Goose Creek SC 29445-5335. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Thompson-Bryant, Traci Latrelle can be contacted via phone (843) 789-4464.

Contact Information

Primary practice address
120 Springhall Dr Ste D Goose Creek SC 29445-5335
Fax: (843) 970-2411
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1326662867
LBN Legal business name Thompson-Bryant, Traci Latrelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2020
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326662867 NPPES
Other 1093173874 GOLDEN CARE SOLUTIONS LLC

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