Payne, Richard

Payne, Richard is an individual health care provider with primary practice located at 1251 Nilles Rd Ste 5 , Fairfield OH 45014-7205. He recently has 3 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 / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Payne, Richard can be contacted via phone (513) 939-0300.

Contact Information

Primary practice address
1251 Nilles Rd Ste 5 Fairfield OH 45014-7205
Phone: (513) 939-0300
Fax: (513) 939-0310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.162568 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.1500925 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1901425 Ohio

Profile Details

NPI number 1336686120
LBN Legal business name Payne, Richard
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2017
Last updated May 13th, 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 1336686120 NPPES
Ohio Other 01-0693 CARF CERTIFICATION
Ohio Other 0074861 CARF CERTIFICATION
Ohio Other 0074946 CARF CERTIFICATION

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