Faison, Carla M

Faison, Carla M is an sole proprietor health care provider with primary practice located at 10921 Reed Hartman Hwy Ste 116, Blue Ash OH 45242-2830. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Faison, Carla M can be contacted via phone (513) 563-4442.

Contact Information

Primary practice address
10921 Reed Hartman Hwy Ste 116 Blue Ash OH 45242-2830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0002709S Ohio

Profile Details

NPI number 1295948479
LBN Legal business name Faison, Carla M
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 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 1295948479 NPPES
Ohio Other 11510987 CAQH NUMBER
Ohio Other 1235246778 CAQH NUMBER
Ohio Other E0002709S CAQH NUMBER
Ohio Other 000000380132 CAQH NUMBER
Ohio Other 7321149 CAQH NUMBER

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