Bizup, Kimberlee

Bizup, Kimberlee is an sole proprietor health care provider with primary practice located at 7232 Justin Way , Mentor OH 44060-4881. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Bizup, Kimberlee can be contacted via phone (440) 578-8200.

Contact Information

Primary practice address
7232 Justin Way Mentor OH 44060-4881
Phone: (440) 578-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0700424 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X E.0700424-SUPV Ohio

Profile Details

NPI number 1013326693
LBN Legal business name Bizup, Kimberlee
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2014
Last updated Feb 9th, 2021 - about 5 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 1013326693 NPPES
Ohio MEDICAID 0221984

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