Balliviero, Dino Dominic

Balliviero, Dino Dominic is an individual health care provider with primary practice located at 71338 Hwy. 21 Suite 101, Covington LA 70433-7162. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Balliviero, Dino Dominic can be contacted via phone (985) 624-2942.

Contact Information

Primary practice address
71338 Hwy. 21 Suite 101 Covington LA 70433-7162
Phone: (985) 624-2942
Fax: (985) 231-1373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2732 Louisiana

Profile Details

NPI number 1386883312
LBN Legal business name Balliviero, Dino Dominic
Credentials LPC, CTTS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2009
Last updated Jun 20th, 2020 - about 4 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 1386883312 NPPES
Louisiana Other LPC2732 PROFESSIONAL LICENSE

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