Washington, Siobhan Monique

Washington, Siobhan Monique is an sole proprietor health care provider with primary practice located at 12114 Downy Birch Road , Charlotte NC 28227. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Washington, Siobhan Monique can be contacted via phone (704) 775-1049.

Contact Information

Primary practice address
12114 Downy Birch Road Charlotte NC 28227
Phone: (704) 775-1049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-21878 North Carolina
Agencies / Community/Behavioral Health 251S00000X LCAS-21878 North Carolina

Profile Details

NPI number 1922424092
LBN Legal business name Washington, Siobhan Monique
Credentials MSW, LCASA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2014
Last updated May 10th, 2017 - about 7 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 1922424092 NPPES
North Carolina Other 21878 LCAS

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