Nolan, Evelyn Lawanna

Nolan, Evelyn Lawanna is an individual health care provider with primary practice located at 1203 American Greeting Rd , Corbin KY 40701-4811. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nolan, Evelyn Lawanna can be contacted via phone (606) 528-7010.

Contact Information

Primary practice address
1203 American Greeting Rd Corbin KY 40701-4811
Phone: (606) 528-7010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0557 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1200 Kentucky
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 165995 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 105702 Kentucky

Profile Details

NPI number 1205054970
LBN Legal business name Nolan, Evelyn Lawanna
Credentials M.ED, LPCC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Sep 12th, 2016 - about 8 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 1205054970 NPPES
Kentucky MEDICAID 7100291930

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