King, Heather Marie

King, Heather Marie is an individual health care provider with primary practice located at 5647 Mayberry Sq E , Sylvania OH 43560-9456. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. King, Heather Marie can be contacted via phone (419) 482-8277.

Contact Information

Primary practice address
5647 Mayberry Sq E Sylvania OH 43560-9456
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1901616 Ohio

Profile Details

NPI number 1215445408
LBN Legal business name King, Heather Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2018
Last updated Jul 27th, 2020 - about 6 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 1215445408 NPPES
Other 14407236 CAQH

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