Bates, Tisha Mae

Bates, Tisha Mae is an individual health care provider with primary practice located at 188 W Hebble Ave , Fairborn OH 45324-4960. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bates, Tisha Mae can be contacted via phone (937) 754-5911.

Contact Information

Primary practice address
188 W Hebble Ave Fairborn OH 45324-4960
Phone: (937) 754-5911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.1802464 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1770146821
LBN Legal business name Bates, Tisha Mae
Credentials LSW,MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2019
Last updated Feb 8th, 2022 - about 4 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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