Flewellen, Alivia
Flewellen, Alivia is an sole proprietor health care provider with primary practice located at 1468 Tule Peak Cir , Carson City NV 89701-8033. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Flewellen, Alivia can be contacted via phone (775) 298-1272.Contact Information
Primary practice address
1468 Tule Peak Cir
Carson City NV 89701-8033
Phone: (775) 298-1272
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8225-S | Nevada |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | IC-1676 | Nevada |
Profile Details
NPI number | 1356939011 |
---|---|
LBN Legal business name | Flewellen, Alivia |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 7th, 2021 |
Last updated | May 13th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356939011 | NPPES |
Nevada | MEDICAID | 250012063 |
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