Palencer, Trisha
Palencer, Trisha is an individual health care provider with primary practice located at 1115 Ronald Reagan Pkwy Ste 383 , Avon IN 46123-6914. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Palencer, Trisha can be contacted via phone (317) 217-2711.Contact Information
Primary practice address
1115 Ronald Reagan Pkwy Ste 383
Avon IN 46123-6914
Phone: (317) 217-2711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87001597A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34007885A | Indiana |
Profile Details
| NPI number | 1972067353 |
|---|---|
| LBN Legal business name | Palencer, Trisha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2019 |
| Last updated | Jan 30th, 2019 - about 7 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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