Ballard, Dolores
Ballard, Dolores is an individual health care provider with primary practice located at 65 Old Springfield Rd , Lebanon KY 40033-9185. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ballard, Dolores can be contacted via phone (270) 692-2509.Contact Information
Primary practice address
65 Old Springfield Rd
Lebanon KY 40033-9185
Phone: (270) 692-2509
Fax: (270) 692-2592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1664 | Kentucky |
Profile Details
| NPI number | 1568400414 |
|---|---|
| LBN Legal business name | Ballard, Dolores |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568400414 | NPPES |
| Kentucky | MEDICAID | 30605018 | |
| Kentucky | Other | 11489631 |
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