Bennett, Stacie Camp

Bennett, Stacie Camp is an individual health care provider with primary practice located at 809 N Lafayette St Suite A, Shelby NC 28150-3978. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bennett, Stacie Camp can be contacted via phone (704) 301-8093.

Contact Information

Primary practice address
809 N Lafayette St Suite A Shelby NC 28150-3978
Phone: (704) 301-8093
Fax: (704) 301-8093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3813 North Carolina

Profile Details

NPI number 1902955503
LBN Legal business name Bennett, Stacie Camp
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 18th, 2015 - about 11 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 1902955503 NPPES
North Carolina MEDICAID 6102552

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