Lentz, Carol Ellen
Lentz, Carol Ellen is an sole proprietor health care provider with primary practice located at 20 N Tacoma Ave Ste. B, Tacoma WA 98403-3133. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lentz, Carol Ellen can be contacted via phone (253) 224-2679.Contact Information
Primary practice address
20 N Tacoma Ave Ste. B
Tacoma WA 98403-3133
Phone: (253) 224-2679
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00008605 | Washington |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LH00008605 | Washington |
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | LH00008605 | Washington |
Profile Details
| NPI number | 1639349145 |
|---|---|
| LBN Legal business name | Lentz, Carol Ellen |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Jun 9th, 2011 - about 13 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 | 1639349145 | NPPES |
| Washington | MEDICAID | 2011449 |
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