Douglass, Elissa Beth
Douglass, Elissa Beth is an sole proprietor health care provider with primary practice located at 7062 West Blvd Unit 2 , Boardman OH 44512-4301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglass, Elissa Beth can be contacted via phone (614) 499-5131.Contact Information
Primary practice address
7062 West Blvd Unit 2
Boardman OH 44512-4301
Phone: (614) 499-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I1200036 | Ohio |
Profile Details
| NPI number | 1568738722 |
|---|---|
| LBN Legal business name | Douglass, Elissa Beth |
| Credentials | MSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2012 |
| Last updated | Apr 1st, 2020 - about 6 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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