Costello, Carly Erin
Costello, Carly Erin is an individual health care provider with primary practice located at 207 D St , South Charleston WV 25303-3103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Costello, Carly Erin can be contacted via phone (304) 887-2994.Contact Information
Primary practice address
207 D St
South Charleston WV 25303-3103
Phone: (304) 887-2994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | DP00945200 | West Virginia |
Profile Details
| NPI number | 1396251641 |
|---|---|
| LBN Legal business name | Costello, Carly Erin |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2017 |
| Last updated | Dec 7th, 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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