Hertelendy, Alyssa Helene

Hertelendy, Alyssa Helene is an sole proprietor health care provider with primary practice located at 2115 W Park Dr , Lorain OH 44053-1138. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Hertelendy, Alyssa Helene can be contacted via phone (440) 989-4900.

Contact Information

Primary practice address
2115 W Park Dr Lorain OH 44053-1138
Phone: (440) 989-4900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.172984 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.2304751-TR Ohio

Profile Details

NPI number 1578121372
LBN Legal business name Hertelendy, Alyssa Helene
Credentials CT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2019
Last updated Feb 29th, 2024 - about 2 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 1578121372 NPPES
Ohio MEDICAID 0013840

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