Booth, Carly R

Booth, Carly R is an individual health care provider with primary practice located at 4437 Main St , Shallotte NC 28470-4451. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Booth, Carly R can be contacted via phone (910) 754-4449.

Contact Information

Primary practice address
4437 Main St Shallotte NC 28470-4451
Phone: (910) 754-4449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1134745516
LBN Legal business name Booth, Carly R
Credentials MSW LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated Dec 4th, 2023 - about 3 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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