Defelice, William

Defelice, William is an sole proprietor health care provider with primary practice located at 1891 Fulton Ave , Cleveland OH 44113. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Defelice, William can be contacted via phone (216) 651-0234.

Contact Information

Primary practice address
1891 Fulton Ave Cleveland OH 44113
Phone: (216) 651-0234
Fax: (216) 651-1096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 975961 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0002866 Ohio

Profile Details

NPI number 1770700775
LBN Legal business name Defelice, William
Credentials LPCC AND LICDC-CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated May 6th, 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 1770700775 NPPES
Ohio Other 000000334427 ANTHEM
Ohio Other 1000683 ANTHEM
Ohio Other 215952000 ANTHEM
Ohio MEDICAID 0193123 ANTHEM
Ohio Other 7649640 ANTHEM
Ohio Other 2038292 ANTHEM

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