Jordan, Kim Yvette

Jordan, Kim Yvette is an sole proprietor health care provider with primary practice located at 2018 Sycamore Dr , Bedford Heights OH 44146-2314. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jordan, Kim Yvette can be contacted via phone (216) 246-9437.

Contact Information

Primary practice address
2018 Sycamore Dr Bedford Heights OH 44146-2314
Phone: (216) 246-9437
Fax: (216) 250-8185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1100473-S Ohio

Profile Details

NPI number 1558889212
LBN Legal business name Jordan, Kim Yvette
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2017
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558889212 NPPES
Ohio MEDICAID 0249061

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