Roberts, Madison Lily

Roberts, Madison Lily is an individual health care provider with primary practice located at 714 W Pine St Bldg C , Newport WA 99156-9046. She 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roberts, Madison Lily can be contacted via phone (509) 447-3139.

Contact Information

Primary practice address
714 W Pine St Bldg C Newport WA 99156-9046
Phone: (509) 447-3139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1932600111
LBN Legal business name Roberts, Madison Lily
Credentials SUDP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2018
Last updated Sep 26th, 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.

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