Neeley, Jordan Elizabeth

Neeley, Jordan Elizabeth is an sole proprietor health care provider with primary practice located at 1101 Old Trolley Rd Ste 400 , Summerville SC 29485-5294. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Neeley, Jordan Elizabeth can be contacted via phone (843) 212-6802.

Contact Information

Primary practice address
1101 Old Trolley Rd Ste 400 Summerville SC 29485-5294
Phone: (843) 212-6802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7057 South Carolina

Profile Details

NPI number 1700127594
LBN Legal business name Neeley, Jordan Elizabeth
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2013
Last updated Mar 21st, 2024 - about 2 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 1700127594 NPPES
South Carolina MEDICAID 1760596480

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