Statham, Raymond Scott

Statham, Raymond Scott is an individual health care provider with primary practice located at 1504 Springhill Ave Va Opc, Mobile AL 36604-3207. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Statham, Raymond Scott can be contacted via phone (251) 219-3701.

Contact Information

Primary practice address
1504 Springhill Ave Va Opc Mobile AL 36604-3207
Phone: (251) 219-3701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 293 Louisiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22218 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 2309 Alabama
Behavioral Health & Social Service Providers / Professional 101YP2500X 1570 Louisiana

Profile Details

NPI number 1659315406
LBN Legal business name Statham, Raymond Scott
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 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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