1346408713 NPI number — BETTY JO SCHARER,LPC, LLC

Table of content: (NPI 1346408713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346408713 NPI number — BETTY JO SCHARER,LPC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETTY JO SCHARER,LPC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DBABETTY JO SCHARER, LPC, LLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346408713
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1473 CHEROKEE MOUNTAIN TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MURPHY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28906-2247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-837-6718
Provider Business Mailing Address Fax Number:
828-837-4718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1473 CHEROKEE MOUNTAIN TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-2247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-837-6718
Provider Business Practice Location Address Fax Number:
828-837-4718
Provider Enumeration Date:
06/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SCHARER
Authorized Official First Name:
BETTY
Authorized Official Middle Name:
JO
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
828-837-6718

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  2495 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 52821978 . This is a "BC/BS OF GA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 6102119 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 017WH . This is a "BLUE CROSS BLUE SHIELD OF NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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