Pendleton, Portia
Pendleton, Portia is an sole proprietor health care provider with primary practice located at 190 Westbrook Rd , Essex CT 06426-1518. 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. Pendleton, Portia can be contacted via phone (860) 767-0147.Contact Information
Primary practice address
190 Westbrook Rd
Essex CT 06426-1518
Phone: (860) 767-0147
Fax: (860) 767-0148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LMSW4442 | Connecticut |
Profile Details
| NPI number | 1104374230 |
|---|---|
| LBN Legal business name | Pendleton, Portia |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2016 |
| Last updated | Nov 1st, 2018 - about 8 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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