Provost, Beth

Provost, Beth is an sole proprietor health care provider with primary practice located at 1060A Lowell Dr , Oconomowoc WI 53066-4337. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Provost, Beth can be contacted via phone (262) 443-7917.

Contact Information

Primary practice address
1060A Lowell Dr Oconomowoc WI 53066-4337
Phone: (262) 443-7917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 115179 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11953-123 Wisconsin
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 12062-123 Wisconsin

Profile Details

NPI number 1194187757
LBN Legal business name Provost, Beth
Credentials LCSW, LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2016
Last updated Dec 10th, 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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