Reilly, Patricia

Reilly, Patricia is an individual health care provider with primary practice located at 103 Fountainhead Ln , Fayetteville NC 28301-5462. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Reilly, Patricia can be contacted via phone (910) 485-7005.

Contact Information

Primary practice address
103 Fountainhead Ln Fayetteville NC 28301-5462
Phone: (910) 485-7005
Fax: (910) 495-8629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000463 North Carolina

Profile Details

NPI number 1700864659
LBN Legal business name Reilly, Patricia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1700864659 NPPES
North Carolina Other 70929 BLUECROSS/BLUESHIELD

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