Garvin, Teal Venice

Garvin, Teal Venice is an sole proprietor health care provider with primary practice located at 3126 Milton Rd Ste 233 , Charlotte NC 28215-3782. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Garvin, Teal Venice can be contacted via phone (704) 806-5013.

Contact Information

Primary practice address
3126 Milton Rd Ste 233 Charlotte NC 28215-3782
Phone: (704) 806-5013
Fax: (888) 502-9591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9516 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1429 North Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 9764-CP South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9764-CP South Carolina
Agencies / Community/Behavioral Health 251S00000X 1429 North Carolina
Agencies / Community/Behavioral Health 251S00000X 9764-CP South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006557 North Carolina

Profile Details

NPI number 1568636199
LBN Legal business name Garvin, Teal Venice
Credentials LCSW, LCAS, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2008
Last updated Mar 17th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568636199 NPPES
North Carolina MEDICAID 6112081
North Carolina MEDICAID SW1056

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