Payne, Ardith
Payne, Ardith is an individual health care provider with primary practice located at 700 Technology Dr , South Charleston WV 25309-8571. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Payne, Ardith can be contacted via phone (304) 746-5300.Contact Information
Primary practice address
700 Technology Dr
South Charleston WV 25309-8571
Phone: (304) 746-5300
Fax: (304) 746-3912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | DP00944180 | West Virginia |
Profile Details
| NPI number | 1255758066 |
|---|---|
| LBN Legal business name | Payne, Ardith |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2014 |
| Last updated | Mar 20th, 2019 - about 6 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 | 1255758066 | NPPES |
| West Virginia | MEDICAID | 0005355002 |
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