Ebacher, Alivia
Ebacher, Alivia is an sole proprietor health care provider with primary practice located at 1611 County Road B W Ste 204 , Roseville MN 55113-4053. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ebacher, Alivia can be contacted via phone (651) 354-1933.Contact Information
Primary practice address
1611 County Road B W Ste 204
Roseville MN 55113-4053
Phone: (651) 354-1933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3955 | Minnesota |
Profile Details
| NPI number | 1245901859 |
|---|---|
| LBN Legal business name | Ebacher, Alivia |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2021 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245901859 | NPPES |
| Minnesota | MEDICAID | 1770912271 |
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