Rivera, Amaryllis
Rivera, Amaryllis is an sole proprietor health care provider with primary practice located at 428 Allen Ct # B , Wheeling IL 60090-6102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rivera, Amaryllis can be contacted via phone (630) 449-2648.Contact Information
Primary practice address
428 Allen Ct # B
Wheeling IL 60090-6102
Phone: (630) 449-2648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.025253 | Illinois |
Profile Details
| NPI number | 1447959960 |
|---|---|
| LBN Legal business name | Rivera, Amaryllis |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2023 |
| Last updated | Mar 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447959960 | NPPES |
| Illinois | Other | 149.025253 | LICENSE NUMBER |
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