Dillane, Brenda

Dillane, Brenda is an sole proprietor health care provider with primary practice located at 7232 Justin Way , Mentor OH 44060-4881. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Dillane, Brenda can be contacted via phone (440) 578-8200.

Contact Information

Primary practice address
7232 Justin Way Mentor OH 44060-4881
Phone: (440) 578-8200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0007656 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0007656-SUPV Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X E.0007656-SUPV Ohio

Profile Details

NPI number 1649434242
LBN Legal business name Dillane, Brenda
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2008
Last updated Oct 9th, 2021 - about 3 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 1649434242 NPPES
Ohio MEDICAID 0189762

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