Ballard, Tonya

Ballard, Tonya is an individual health care provider with primary practice located at 608 Happy Valley Rd , Glasgow KY 42141-1561. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ballard, Tonya can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
608 Happy Valley Rd Glasgow KY 42141-1561
Fax: (270) 842-5268
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1677 Kentucky

Profile Details

NPI number 1346272044
LBN Legal business name Ballard, Tonya
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 2nd, 2008 - about 16 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 1346272044 NPPES
Kentucky MEDICAID 30604011

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