Hightower, Derrick Lavon
Hightower, Derrick Lavon is an individual health care provider with primary practice located at 710 S Church St , Spartanburg SC 29306-5345. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Hightower, Derrick Lavon can be contacted via phone (864) 230-6479.Contact Information
Primary practice address
710 S Church St
Spartanburg SC 29306-5345
Phone: (864) 230-6479
Fax: (864) 578-7176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4714 | South Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4714 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4714 | South Carolina |
Profile Details
| NPI number | 1134158090 |
|---|---|
| LBN Legal business name | Hightower, Derrick Lavon |
| Credentials | LPCI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Feb 6th, 2012 - about 14 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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