Elliott, Suzanne Holt

Elliott, Suzanne Holt is an sole proprietor health care provider with primary practice located at 136 Sullivan Rd , Glen Morgan WV 25813-7600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Elliott, Suzanne Holt can be contacted via phone (304) 256-4555.

Contact Information

Primary practice address
136 Sullivan Rd Glen Morgan WV 25813-7600
Phone: (304) 256-4555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 567 West Virginia
Behavioral Health & Social Service Providers / School 103TS0200X 21015 West Virginia

Profile Details

NPI number 1164515045
LBN Legal business name Elliott, Suzanne Holt
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Oct 12th, 2007 - about 18 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 1164515045 NPPES
West Virginia MEDICAID 0164229000

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