Harbour, Eric Mallory
Harbour, Eric Mallory is an sole proprietor health care provider with primary practice located at 1011 W Saint Julian Pl , Apex NC 27502-8936. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Harbour, Eric Mallory can be contacted via phone (919) 616-3766.Contact Information
Primary practice address
1011 W Saint Julian Pl
Apex NC 27502-8936
Phone: (919) 616-3766
Fax: (919) 784-9184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C004763 | North Carolina |
Profile Details
| NPI number | 1285772434 |
|---|---|
| LBN Legal business name | Harbour, Eric Mallory |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 9th, 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 | 1285772434 | NPPES |
| North Carolina | MEDICAID | 6003236 |
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