Stavlas, Victoria M.
Stavlas, Victoria M. is an individual health care provider with primary practice located at 30400 Detroit Rd Suite 301, Westlake OH 44145-1872. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stavlas, Victoria M. can be contacted via phone (440) 376-2844.Contact Information
Primary practice address
30400 Detroit Rd Suite 301
Westlake OH 44145-1872
Phone: (440) 376-2844
Fax: (440) 250-8864
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E.0003190 | Ohio |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | S0006779 | Ohio |
Profile Details
NPI number | 1174669402 |
---|---|
LBN Legal business name | Stavlas, Victoria M. |
Credentials | LPCC,LSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Jul 25th, 2011 - about 13 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 | 1174669402 | NPPES |
Ohio | MEDICAID | 0308483 |
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