Comer, Brenda E

Comer, Brenda E is an sole proprietor health care provider with primary practice located at 2912 W 84Th Pl , Merrillville IN 46410-7288. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Comer, Brenda E can be contacted via phone (219) 670-0365.

Contact Information

Primary practice address
2912 W 84Th Pl Merrillville IN 46410-7288
Phone: (219) 670-0365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1477121879
LBN Legal business name Comer, Brenda E
Credentials LCSW,LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2021
Last updated Jun 16th, 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 1477121879 NPPES
Indiana MEDICAID 223945422

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