Garrette, Mahagony Ann Shada
Garrette, Mahagony Ann Shada is an individual health care provider with primary practice located at 410 N Greensboro St Ste 220 , Carrboro NC 27510-1870. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Garrette, Mahagony Ann Shada can be contacted via phone (919) 966-9803.Contact Information
Primary practice address
410 N Greensboro St Ste 220
Carrboro NC 27510-1870
Phone: (919) 966-9803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-28639 | North Carolina |
Profile Details
| NPI number | 1073203303 |
|---|---|
| LBN Legal business name | Garrette, Mahagony Ann Shada |
| Credentials | MS, LCAS-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2023 |
| Last updated | May 10th, 2023 - about 3 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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