Heffner, Brooke Haley
Heffner, Brooke Haley is an individual health care provider with primary practice located at 1007 N 2Nd St , Ironton OH 45638-1235. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Heffner, Brooke Haley can be contacted via phone (740) 442-7045.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Ohio | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1154820710 |
|---|---|
| LBN Legal business name | Heffner, Brooke Haley |
| Credentials | CDCA, QMHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2018 |
| Last updated | Jun 7th, 2023 - about 3 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 | 1154820710 | NPPES |
| Ohio | MEDICAID | 0282406 |
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