Avallone, Dana Lynne

Avallone, Dana Lynne is an individual health care provider with primary practice located at 180 Wingo Way Ste 306 , Mt Pleasant SC 29464. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Avallone, Dana Lynne can be contacted via phone (843) 884-1777.

Contact Information

Primary practice address
180 Wingo Way Ste 306 Mt Pleasant SC 29464
Phone: (843) 884-1777
Fax: (843) 884-0710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12632 South Carolina

Profile Details

NPI number 1548681711
LBN Legal business name Avallone, Dana Lynne
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2013
Last updated Feb 9th, 2024 - about 2 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 1548681711 NPPES
South Carolina MEDICAID SW1501
South Carolina Other 9223

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