Hicks, Vivian

Hicks, Vivian is an individual health care provider with primary practice located at 79 Lilly Creek Ln , Jamestown KY 42629-7924. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hicks, Vivian can be contacted via phone (253) 625-0141.

Contact Information

Primary practice address
79 Lilly Creek Ln Jamestown KY 42629-7924
Phone: (253) 625-0141
Fax: (253) 302-5406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO 60457984 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 275012 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC60587450 Washington

Profile Details

NPI number 1053712711
LBN Legal business name Hicks, Vivian
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2014
Last updated Jun 12th, 2023 - about 2 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 1053712711 NPPES
Washington Other MC60587450 WASHINGTON STATE LMHCA
Washington Other LH60776174 WASHINGTON STATE LMHCA
Washington Other 4397 WASHINGTON STATE LMHCA
Washington Other CO 60457984 WASHINGTON STATE LMHCA
Washington Other 275012 WASHINGTON STATE LMHCA

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