Sumner, Alisa Brooke
Sumner, Alisa Brooke is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Sumner, Alisa Brooke can be contacted via phone (270) 412-3247.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (270) 412-3247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5195 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3547 | Kentucky |
| Behavioral Health & Social Service Providers / School | 1041S0200X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3547 | Kentucky |
Profile Details
| NPI number | 1295926186 |
|---|---|
| LBN Legal business name | Sumner, Alisa Brooke |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Sep 11th, 2023 - about last year |
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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