Peebles, Patricia A.

Peebles, Patricia A. is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Peebles, Patricia A. can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S.0800857 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.0800857 Ohio

Profile Details

NPI number 1568900991
LBN Legal business name Peebles, Patricia A.
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 8th, 2017 - about 9 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 1568900991 NPPES
Ohio Other 0074946 MEDICAID-ODMH
Ohio Other H130910 MEDICAID-ODMH
Ohio Other 01-0693 MEDICAID-ODMH
Ohio Other 0074861 MEDICAID-ODMH

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