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
Fax: (440) 250-8864
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174669402 NPPES
Ohio MEDICAID 0308483

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