Grubbs, Raymond L
Grubbs, Raymond L is an individual health care provider with primary practice located at 1515 Mockingbird Ln Suite 412, Charlotte NC 28209-3236. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Grubbs, Raymond L can be contacted via phone (704) 523-5252.Contact Information
Primary practice address
1515 Mockingbird Ln Suite 412
Charlotte NC 28209-3236
Phone: (704) 523-5252
Fax: (704) 523-5251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 650 | North Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 650 | North Carolina |
Profile Details
| NPI number | 1265422539 |
|---|---|
| LBN Legal business name | Grubbs, Raymond L |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1265422539 | NPPES |
| North Carolina | Other | 12622 | BLUE CROSS BLUE SHIELD |
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