Mingus, Kaitlin Elizabeth

Mingus, Kaitlin Elizabeth is an sole proprietor health care provider with primary practice located at 1907 11Th St , Portsmouth OH 45662-4531. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mingus, Kaitlin Elizabeth can be contacted via phone (513) 941-4999.

Contact Information

Primary practice address
1907 11Th St Portsmouth OH 45662-4531
Phone: (513) 941-4999
Fax: (513) 694-0168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.160859 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.164489 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHSPLUS3 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161799 Ohio

Profile Details

NPI number 1700392701
LBN Legal business name Mingus, Kaitlin Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2017
Last updated Apr 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 1700392701 NPPES
Ohio MEDICAID 0262989

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