Staten, Bridget Hollis
Staten, Bridget Hollis is an individual health care provider with primary practice located at 1031 Middleton St , Orangeburg SC 29115-4783. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Staten, Bridget Hollis can be contacted via phone (803) 534-4160.Contact Information
Primary practice address
1031 Middleton St
Orangeburg SC 29115-4783
Phone: (803) 534-4160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6569 | South Carolina |
Profile Details
| NPI number | 1639669948 |
|---|---|
| LBN Legal business name | Staten, Bridget Hollis |
| Credentials | PH.D, LPC, CRC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2018 |
| Last updated | May 11th, 2018 - about 8 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 | 1639669948 | NPPES |
| South Carolina | MEDICAID | PC12181 |
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