Green, Stacy Katrina

Green, Stacy Katrina is an sole proprietor health care provider with primary practice located at 900 Church St D2, Laurens SC 29360-1668. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Green, Stacy Katrina can be contacted via phone (864) 387-7998.

Contact Information

Primary practice address
900 Church St D2 Laurens SC 29360-1668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1314015 South Carolina

Profile Details

NPI number 1326416181
LBN Legal business name Green, Stacy Katrina
Credentials 160010197
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2015
Last updated Sep 10th, 2015 - about 11 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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