Ballard-Booth, Monica
Ballard-Booth, Monica is an individual health care provider with primary practice located at 331 State St Suite 300, Madison WV 25130-1367. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ballard-Booth, Monica can be contacted via phone (304) 369-5283.Contact Information
Primary practice address
331 State St Suite 300
Madison WV 25130-1367
Phone: (304) 369-5283
Fax: (304) 369-4800
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1135 | West Virginia |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | AP00941739 | West Virginia |
Profile Details
NPI number | 1083167944 |
---|---|
LBN Legal business name | Ballard-Booth, Monica |
Credentials | MA, LSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2016 |
Last updated | Jul 27th, 2016 - 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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