Durham, Amanda Elmore
Durham, Amanda Elmore is an sole proprietor health care provider with primary practice located at 200 Doctors Dr Ste C , Jacksonville NC 28546-6308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Durham, Amanda Elmore can be contacted via phone (910) 333-5956.Contact Information
Primary practice address
200 Doctors Dr Ste C
Jacksonville NC 28546-6308
Phone: (910) 333-5956
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-21716 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1164455358 |
|---|---|
| LBN Legal business name | Durham, Amanda Elmore |
| Credentials | LPC, LCAS-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Feb 12th, 2018 - about 8 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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