Billingsley Ezea, Stephanie Hope Alexandra

Billingsley Ezea, Stephanie Hope Alexandra is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Billingsley Ezea, Stephanie Hope Alexandra can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA080412 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0800287 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0800287 Ohio

Profile Details

NPI number 1487027595
LBN Legal business name Billingsley Ezea, Stephanie Hope Alexandra
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487027595 NPPES
Other 0074861 MEDICAID-ODADAS
Other 01-0693 MEDICAID-ODADAS
Other H130910 MEDICAID-ODADAS
Other 0074946 MEDICAID-ODADAS

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