Hailey, Stacey Tywanna

Hailey, Stacey Tywanna is an individual health care provider with primary practice located at 139 Three Hunts Dr , Pembroke NC 28372-6800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hailey, Stacey Tywanna can be contacted via phone (910) 272-3220.

Contact Information

Primary practice address
139 Three Hunts Dr Pembroke NC 28372-6800
Phone: (910) 272-3220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904007617 Virginia

Profile Details

NPI number 1083866628
LBN Legal business name Hailey, Stacey Tywanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Sep 20th, 2013 - about 13 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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