Lippincott, Heather Ellis
Lippincott, Heather Ellis is an individual health care provider with primary practice located at 5502 Bernhardt Ct , Wilmington NC 28409-3962. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lippincott, Heather Ellis can be contacted via phone (910) 617-5160.Contact Information
Primary practice address
5502 Bernhardt Ct
Wilmington NC 28409-3962
Phone: (910) 617-5160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 995 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C007313 | North Carolina |
Profile Details
| NPI number | 1114059110 |
|---|---|
| LBN Legal business name | Lippincott, Heather Ellis |
| Credentials | MSW, LCSW, LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Sep 7th, 2011 - about 15 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 | 1114059110 | NPPES |
| North Carolina | Other | 6111869 | LCAS |
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