Toller, Misty

Toller, Misty is an sole proprietor health care provider with primary practice located at 508 E Main St , West Union OH 45693-8002. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Toller, Misty can be contacted via phone (937) 544-5218.

Contact Information

Primary practice address
508 E Main St West Union OH 45693-8002
Phone: (937) 544-5218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 162347 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHS Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 165911 Ohio

Profile Details

NPI number 1831602762
LBN Legal business name Toller, Misty
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2017
Last updated Jan 23rd, 2020 - about 4 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 1831602762 NPPES
Ohio MEDICAID 0274663

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