Radcliffe, Heather Anne
Radcliffe, Heather Anne is an sole proprietor health care provider with primary practice located at 65 Professional Pl Ste 102103 , Bridgeport WV 26330-0258. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Radcliffe, Heather Anne can be contacted via phone (304) 848-5770.Contact Information
Primary practice address
65 Professional Pl Ste 102103
Bridgeport WV 26330-0258
Phone: (304) 848-5770
Fax: (304) 848-0980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | DP00941015 | West Virginia |
Profile Details
| NPI number | 1649539396 |
|---|---|
| LBN Legal business name | Radcliffe, Heather Anne |
| Credentials | LICSW ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2012 |
| Last updated | Sep 7th, 2022 - about 3 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 | 1649539396 | NPPES |
| West Virginia | MEDICAID | 1649539396 |
Popular Providers
-
Tolley, Cassidy Brooke
65 Professional Pl Ste 102103 , Bridgeport WV 26330-0258 -
Majewski, Jeffrey
327 Medical Park Dr , Bridgeport WV 26330 -
Young, Mirrandia
570 Sidetrack Rd , Bridgeport WV 26330 -
Bailey, Dawn Marie
27 Trovato St Ste 103 , Bridgeport WV 26330-7286 -
Senft, Carrie Lynette
243 W Main St , Bridgeport WV 26330-1767 -
Dunbar, James Arthur
65 Professional Pl Ste 102103 , Bridgeport WV 26330-0258 -
Davis, Melany W
65 Professional Pl Ste 102 , Bridgeport WV 26330-0259 -
Grant, John H.
291 Wall St. , Kingston NY 12401-3849