Bacon, Lawrence Allen

Bacon, Lawrence Allen is an sole proprietor health care provider with primary practice located at 229 Century Blvd Apt 47A , Kernersville NC 27284-4038. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bacon, Lawrence Allen can be contacted via phone (336) 257-9384.

Contact Information

Primary practice address
229 Century Blvd Apt 47A Kernersville NC 27284-4038
Phone: (336) 257-9384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-27641 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1376211193
LBN Legal business name Bacon, Lawrence Allen
Credentials LCASA, LCMHCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2021
Last updated Oct 20th, 2021 - about 4 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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