Cable, Randy Wayne
Cable, Randy Wayne is an sole proprietor health care provider with primary practice located at 117 N 4Th St , Ironton OH 45638-1403. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cable, Randy Wayne can be contacted via phone (740) 237-4981.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162366 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | QMHS | Ohio |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | APS.003697 | Ohio |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.22077323 | Ohio |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2405356 | Ohio |
Profile Details
NPI number | 1003326653 |
---|---|
LBN Legal business name | Cable, Randy Wayne |
Credentials | LISW, LICDC, PRS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2017 |
Last updated | May 6th, 2024 - about last year |
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 | 1003326653 | NPPES |
Ohio | MEDICAID | 0481281 |
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