Dallas, Larnessa

Dallas, Larnessa is an sole proprietor health care provider with primary practice located at 734 Hickory Limb Cir , Bel Air MD 21014-1898. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Dallas, Larnessa can be contacted via phone (302) 331-4551.

Contact Information

Primary practice address
734 Hickory Limb Cir Bel Air MD 21014-1898
Phone: (302) 331-4551
Fax: (443) 371-7667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 47-1223781 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 47-1223781 Maryland
Other Service Providers / Case Manager/Care Coordinator 171M00000X 47-1223781 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 47-1223781 Maryland

Profile Details

NPI number 1821545203
LBN Legal business name Dallas, Larnessa
Credentials CPRP, MHP,AAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2016
Last updated Sep 2nd, 2016 - about 10 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 1821545203 NPPES
Maryland Other 47-1223781 IRS

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