Haney, Brenda B

Haney, Brenda B is an sole proprietor health care provider with primary practice located at 652 Superior Ave , Dayton OH 45402-6303. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Haney, Brenda B can be contacted via phone (937) 228-7216.

Contact Information

Primary practice address
652 Superior Ave Dayton OH 45402-6303
Phone: (937) 228-7216
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 011369 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0019560 Ohio

Profile Details

NPI number 1871577791
LBN Legal business name Haney, Brenda B
Credentials MSW LISW LCDC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2007 - about 17 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 1871577791 NPPES
Ohio MEDICAID 2272231

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