Storts, Dedra Marie

Storts, Dedra Marie is an individual health care provider with primary practice located at 1375 Commerce Dr , New Lexington OH 43764-9511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Storts, Dedra Marie can be contacted via phone (740) 342-5154.

Contact Information

Primary practice address
1375 Commerce Dr New Lexington OH 43764-9511
Phone: (740) 342-5154
Fax: (740) 342-6704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.163623 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1114437217
LBN Legal business name Storts, Dedra Marie
Credentials AAS, CDCA, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Oct 24th, 2018 - about 6 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 1114437217 NPPES
Ohio MEDICAID 0280874

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