Mcdaniel, Agnes Maria

Mcdaniel, Agnes Maria is an individual health care provider with primary practice located at 4380 Furman Field Rd , Rembert SC 29128. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcdaniel, Agnes Maria can be contacted via phone (808) 983-8277.

Contact Information

Primary practice address
4380 Furman Field Rd Rembert SC 29128
Phone: (808) 983-8277
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1689011363
LBN Legal business name Mcdaniel, Agnes Maria
Credentials CAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2013
Last updated Sep 2nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689011363 NPPES
South Carolina MEDICAID AD18SU

Popular Providers