Hengartner, Holly

Hengartner, Holly is an individual health care provider with primary practice located at 1662 Mars Ave , Lakewood OH 44107-3825. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hengartner, Holly can be contacted via phone (216) 282-3838.

Contact Information

Primary practice address
1662 Mars Ave Lakewood OH 44107-3825
Phone: (216) 282-3838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1800599-SUPV Ohio

Profile Details

NPI number 1861856106
LBN Legal business name Hengartner, Holly
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2016
Last updated Sep 9th, 2020 - about 4 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 1861856106 NPPES
Ohio MEDICAID 0268433

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