Farmer, Candace Mayberry
Farmer, Candace Mayberry is an sole proprietor health care provider with primary practice located at 13420 Reese Blvd W , Huntersville NC 28078-7925. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Farmer, Candace Mayberry can be contacted via phone (704) 433-6644.Contact Information
Primary practice address
13420 Reese Blvd W
Huntersville NC 28078-7925
Phone: (704) 433-6644
Fax: (980) 207-2796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P002719 | North Carolina |
Profile Details
| NPI number | 1306085519 |
|---|---|
| LBN Legal business name | Farmer, Candace Mayberry |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Mar 20th, 2017 - about 9 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 | 1306085519 | NPPES |
| North Carolina | Other | C006688 | LCSW |
| North Carolina | Other | P002719 | LCSW |
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