Booker, Tricia Hart

Booker, Tricia Hart is an individual health care provider with primary practice located at 241 Grant St , West End NC 27376. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Booker, Tricia Hart can be contacted via phone (910) 673-3535.

Contact Information

Primary practice address
241 Grant St West End NC 27376
Phone: (910) 673-3535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW C004285 North Carolina

Profile Details

NPI number 1902938640
LBN Legal business name Booker, Tricia Hart
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1902938640 NPPES
North Carolina MEDICAID 6002557
North Carolina MEDICAID 6002574
North Carolina Other EH5000104
North Carolina Other 141E4
North Carolina Other 185341

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