Davis, Samuel C
Davis, Samuel C is an sole proprietor health care provider with primary practice located at 29086 Jordan Pond Dr , Albemarle NC 28001-6419. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Davis, Samuel C can be contacted via phone (704) 982-1266.Contact Information
Primary practice address
29086 Jordan Pond Dr
Albemarle NC 28001-6419
Phone: (704) 982-1266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2642 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2642 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2642 | North Carolina |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 2642 | North Carolina |
Profile Details
| NPI number | 1295911204 |
|---|---|
| LBN Legal business name | Davis, Samuel C |
| Credentials | MAED, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Jun 15th, 2010 - about 16 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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