Maynard, Karen R.
Maynard, Karen R. is an individual health care provider with primary practice located at 760 Highland Oaks Dr Ste 200 , Winston Salem NC 27103-7114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maynard, Karen R. can be contacted via phone (336) 277-4380.Contact Information
Primary practice address
760 Highland Oaks Dr Ste 200
Winston Salem NC 27103-7114
Phone: (336) 277-4380
Fax: (336) 659-0659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003978 | North Carolina |
Profile Details
| NPI number | 1740287937 |
|---|---|
| LBN Legal business name | Maynard, Karen R. |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740287937 | NPPES |
| North Carolina | MEDICAID | 6003042 |
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