Doherty, Ann
Doherty, Ann is an sole proprietor health care provider with primary practice located at 936 W 4Th St , Winston-Salem NC 27101-2564. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Doherty, Ann can be contacted via phone (336) 655-5702.Contact Information
Primary practice address
936 W 4Th St
Winston-Salem NC 27101-2564
Phone: (336) 655-5702
Fax: (336) 724-2706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2052 | North Carolina |
Profile Details
| NPI number | 1336192418 |
|---|---|
| LBN Legal business name | Doherty, Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 26th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336192418 | NPPES |
| North Carolina | MEDICAID | 6102668 | |
| North Carolina | Other | 1333F |
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