Raimond, Terry
Raimond, Terry is an sole proprietor health care provider with primary practice located at 1865 N Ridge Rd E Ste D , Lorain OH 44055-3359. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Raimond, Terry can be contacted via phone (440) 723-5482.Contact Information
Primary practice address
1865 N Ridge Rd E Ste D
Lorain OH 44055-3359
Phone: (440) 723-5482
Fax: (440) 277-0459
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.163919 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E.1700459-SUPV. | Ohio |
Profile Details
NPI number | 1568868156 |
---|---|
LBN Legal business name | Raimond, Terry |
Credentials | LPCC-S, CDCA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 10th, 2014 |
Last updated | Jun 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568868156 | NPPES |
Ohio | MEDICAID | 0253204 |
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