Maris, Phyllis

Maris, Phyllis is an individual health care provider with primary practice located at 2525 E 22Nd St , Cleveland OH 44115-3202. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Maris, Phyllis can be contacted via phone (216) 459-9827.

Contact Information

Primary practice address
2525 E 22Nd St Cleveland OH 44115-3202
Fax: (216) 696-6592
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E-1160 Ohio

Profile Details

NPI number 1982647152
LBN Legal business name Maris, Phyllis
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982647152 NPPES
Ohio Other 000000124711 ANTHEM BLUE CROSS

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