Back, Alicia
Back, Alicia is an individual health care provider with primary practice located at 2250 Pleasant Ave , Hamilton OH 45015-1135. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Back, Alicia can be contacted via phone (513) 868-4872.Contact Information
Primary practice address
2250 Pleasant Ave
Hamilton OH 45015-1135
Phone: (513) 868-4872
Fax: (513) 868-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E.1200715-SUPV | Ohio |
Profile Details
| NPI number | 1629518584 |
|---|---|
| LBN Legal business name | Back, Alicia |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2017 |
| Last updated | May 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629518584 | NPPES |
| Ohio | MEDICAID | 0207830 |
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