Hicks, Kristen
Hicks, Kristen is an sole proprietor health care provider with primary practice located at 2125 Summit View Rd , Powell OH 43065-8876. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hicks, Kristen can be contacted via phone (937) 572-2649.Contact Information
Primary practice address
2125 Summit View Rd
Powell OH 43065-8876
Phone: (937) 572-2649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2102872 | Ohio |
Profile Details
| NPI number | 1205404191 |
|---|---|
| LBN Legal business name | Hicks, Kristen |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2021 |
| Last updated | Jun 16th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205404191 | NPPES |
| Ohio | Other | I.2102872 | OHIO CSWMFT BOARD |
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