Irvin, Ebony
Irvin, Ebony is an sole proprietor health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Irvin, Ebony can be contacted via phone (312) 647-9314.Contact Information
Primary practice address
7066 Stillwater Blvd N
Oakdale MN 55128-3937
Phone: (312) 647-9314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 33018 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 149.024156 | Illinois |
Profile Details
| NPI number | 1457003451 |
|---|---|
| LBN Legal business name | Irvin, Ebony |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2022 |
| Last updated | Feb 1st, 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.
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