Daniels, Laura Devonne

Daniels, Laura Devonne is an sole proprietor health care provider with primary practice located at 3746 Prospect Ave E , Cleveland OH 44115-2706. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Daniels, Laura Devonne can be contacted via phone (216) 391-6672.

Contact Information

Primary practice address
3746 Prospect Ave E Cleveland OH 44115-2706
Phone: (216) 391-6672
Fax: (216) 391-6433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 00036 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 121453 Ohio

Profile Details

NPI number 1548764087
LBN Legal business name Daniels, Laura Devonne
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2018
Last updated Feb 25th, 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 1548764087 NPPES
Ohio MEDICAID 34-1836284

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