Martinez, Ebony

Martinez, Ebony is an individual health care provider with primary practice located at 516 River Hwy Ste D246 , Mooresville NC 28117-7808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Martinez, Ebony can be contacted via phone (704) 228-6103.

Contact Information

Primary practice address
516 River Hwy Ste D246 Mooresville NC 28117-7808
Phone: (704) 228-6103
Fax: (704) 368-1916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X QASP-S9012 Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X RBT-16-20302 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A16830 North Carolina

Profile Details

NPI number 1235656521
LBN Legal business name Martinez, Ebony
Credentials LCMHC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2017
Last updated Dec 2nd, 2021 - about 5 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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