Faison, Carla M
Faison, Carla M is an sole proprietor health care provider with primary practice located at 10921 Reed Hartman Hwy Ste 116, Blue Ash OH 45242-2830. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Faison, Carla M can be contacted via phone (513) 563-4442.Contact Information
Primary practice address
10921 Reed Hartman Hwy Ste 116
Blue Ash OH 45242-2830
Phone: (513) 563-4442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E0002709S | Ohio |
Profile Details
| NPI number | 1295948479 |
|---|---|
| LBN Legal business name | Faison, Carla M |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1295948479 | NPPES |
| Ohio | Other | 11510987 | CAQH NUMBER |
| Ohio | Other | 1235246778 | CAQH NUMBER |
| Ohio | Other | E0002709S | CAQH NUMBER |
| Ohio | Other | 000000380132 | CAQH NUMBER |
| Ohio | Other | 7321149 | CAQH NUMBER |
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