Kloss, Heidi Mae

Kloss, Heidi Mae is an sole proprietor health care provider with primary practice located at 24600 Center Ridge Road Suite 285, Westlake OH 44145-5691. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kloss, Heidi Mae can be contacted via phone (216) 313-8875.

Contact Information

Primary practice address
24600 Center Ridge Road Suite 285 Westlake OH 44145-5691
Fax: (440) 471-7055
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0008032 Ohio

Profile Details

NPI number 1295860526
LBN Legal business name Kloss, Heidi Mae
Credentials PHD, ATR-BC, LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Mar 26th, 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 1295860526 NPPES
Ohio MEDICAID CS1830400299

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