Harrison, Audra Scott
Harrison, Audra Scott is an individual health care provider with primary practice located at 737B North Dr , Hopkinsville KY 42240-2620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harrison, Audra Scott can be contacted via phone (270) 991-9551.Contact Information
Primary practice address
737B North Dr
Hopkinsville KY 42240-2620
Phone: (270) 991-9551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3629 | Kentucky |
Profile Details
| NPI number | 1285717470 |
|---|---|
| LBN Legal business name | Harrison, Audra Scott |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jun 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285717470 | NPPES |
| Kentucky | MEDICAID | 7100294760 |
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