Bevins, Lisa Ann

Bevins, Lisa Ann is an individual health care provider with primary practice located at 613 Alabama Ave , Wilmington NC 28401-6803. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bevins, Lisa Ann can be contacted via phone (910) 815-6948.

Contact Information

Primary practice address
613 Alabama Ave Wilmington NC 28401-6803
Phone: (910) 815-6948
Fax: (910) 772-7805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-4405 North Carolina

Profile Details

NPI number 1366567216
LBN Legal business name Bevins, Lisa Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 17th, 2010 - about 15 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 1366567216 NPPES
North Carolina MEDICAID 6102643
North Carolina Other 136A4

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