Altizer, Eva Ann

Altizer, Eva Ann is an individual health care provider with primary practice located at 1570 Waverty Rd Holston Counseling Ctr, Kingsport TN 37664. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Altizer, Eva Ann can be contacted via phone (423) 224-1300.

Contact Information

Primary practice address
1570 Waverty Rd Holston Counseling Ctr Kingsport TN 37664
Fax: (423) 224-1375
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC1703 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC1703 Tennessee

Profile Details

NPI number 1336152461
LBN Legal business name Altizer, Eva Ann
Credentials NED LPC MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336152461 NPPES
Other 4087213 MAGELLAN SUMMIT
Other 020107 MAGELLAN SUMMIT
Other 368690 MAGELLAN SUMMIT
Other 4087213 MAGELLAN SUMMIT
Other 020107 MAGELLAN SUMMIT
Other 334969 MAGELLAN SUMMIT
Other 4087213 MAGELLAN SUMMIT

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