Joseph, Jerilyn T.

Joseph, Jerilyn T. is an sole proprietor health care provider with primary practice located at 1721 Ashley Hall Rd Apt S4, Charleston SC 29407-3834. She 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, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Joseph, Jerilyn T. can be contacted via phone (843) 973-2528.

Contact Information

Primary practice address
1721 Ashley Hall Rd Apt S4 Charleston SC 29407-3834
Phone: (843) 973-2528
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1457692659
LBN Legal business name Joseph, Jerilyn T.
Credentials MHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2013
Last updated Oct 11th, 2016 - about 10 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 1457692659 NPPES
South Carolina MEDICAID 1457692659

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