Luna-Blackraven, Raven

Luna-Blackraven, Raven is an sole proprietor health care provider with primary practice located at 1213 Anita Dr , Kent OH 44240-1701. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Luna-Blackraven, Raven can be contacted via phone (417) 208-9021.

Contact Information

Primary practice address
1213 Anita Dr Kent OH 44240-1701
Phone: (417) 208-9021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Agencies / Case Management 251B00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801551510
LBN Legal business name Luna-Blackraven, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2021
Last updated Nov 8th, 2021 - 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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