King, Alicia D

King, Alicia D is an sole proprietor health care provider with primary practice located at 6811 Mayfield Rd Apt 686 , Mayfield Hts OH 44124-2222. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. King, Alicia D can be contacted via phone (520) 431-6457.

Contact Information

Primary practice address
6811 Mayfield Rd Apt 686 Mayfield Hts OH 44124-2222
Phone: (520) 431-6457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 150731 Ohio

Profile Details

NPI number 1356844823
LBN Legal business name King, Alicia D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2018
Last updated Jul 18th, 2022 - 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 1356844823 NPPES
Ohio MEDICAID 34-1836284

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