Erie, Brenda Jo

Erie, Brenda Jo is an sole proprietor health care provider with primary practice located at 448 21St St W Ste D1 Therapy Solutions, Dickinson ND 58601-2647. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Erie, Brenda Jo can be contacted via phone (701) 483-1000.

Contact Information

Primary practice address
448 21St St W Ste D1 Therapy Solutions Dickinson ND 58601-2647
Phone: (701) 483-1000
Fax: (701) 483-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2668 North Dakota
Behavioral Health & Social Service Providers / School 1041S0200X 2668 North Dakota

Profile Details

NPI number 1003122987
LBN Legal business name Erie, Brenda Jo
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2010
Last updated Jun 22nd, 2011 - about 13 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 1003122987 NPPES
North Dakota MEDICAID 4560002242

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