Shute, Laura Terese

Shute, Laura Terese is an individual health care provider with primary practice located at 597 Old Mount Holly Rd Ste 300 , Goose Creek SC 29445-2832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Shute, Laura Terese can be contacted via phone (843) 501-1099.

Contact Information

Primary practice address
597 Old Mount Holly Rd Ste 300 Goose Creek SC 29445-2832
Phone: (843) 501-1099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 7058 South Carolina

Profile Details

NPI number 1215220637
LBN Legal business name Shute, Laura Terese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated May 15th, 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 1215220637 NPPES
Massachusetts MEDICAID 1300881

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