Brintle, Bethany Pearl

Brintle, Bethany Pearl is an individual health care provider with primary practice located at 351 Riverside Dr , Mount Airy NC 27030-3850. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brintle, Bethany Pearl can be contacted via phone (336) 786-7079.

Contact Information

Primary practice address
351 Riverside Dr Mount Airy NC 27030-3850
Phone: (336) 786-7079
Fax: (336) 786-6312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4307 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4307 North Carolina

Profile Details

NPI number 1417010356
LBN Legal business name Brintle, Bethany Pearl
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 28th, 2020 - about 6 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 1417010356 NPPES
North Carolina MEDICAID 6102321

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