Head, Amy

Head, Amy is an individual health care provider with primary practice located at 1407 E 5Th St , Lumberton NC 28358-6007. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Head, Amy can be contacted via phone (910) 739-6624.

Contact Information

Primary practice address
1407 E 5Th St Lumberton NC 28358-6007
Phone: (910) 739-6624
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1336283258
LBN Legal business name Head, Amy
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336283258 NPPES
North Carolina Other 141VX BCBS
North Carolina MEDICAID 6002845 BCBS

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