Dillard, Evelyn
Dillard, Evelyn is an sole proprietor health care provider with primary practice located at 113 Riveria Rd , Mooresville NC 28117-8974. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Dillard, Evelyn can be contacted via phone (704) 402-9176.Contact Information
Primary practice address
113 Riveria Rd
Mooresville NC 28117-8974
Phone: (704) 402-9176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CADC-2411 | North Carolina |
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1912426206 |
|---|---|
| LBN Legal business name | Dillard, Evelyn |
| Credentials | CADC,CPSS,RCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2017 |
| Last updated | Jan 27th, 2026 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912426206 | NPPES |
| North Carolina | MEDICAID | 1912426206 | |
| North Carolina | MEDICAID | 1316335128 |
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