Denillo, Tina Louise

Denillo, Tina Louise is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Denillo, Tina Louise can be contacted via phone (440) 204-4315.

Contact Information

Primary practice address
6140 S Broadway Lorain OH 44053
Phone: (440) 204-4315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1801291 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.2203114 Ohio

Profile Details

NPI number 1568981447
LBN Legal business name Denillo, Tina Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated May 24th, 2023 - about 2 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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