Von, Elenora P
Von, Elenora P is an sole proprietor health care provider with primary practice located at 15117 Main Street Suite 205 #124, Mill Creek WA 98012. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Von, Elenora P can be contacted via phone (425) 285-8338.Contact Information
Primary practice address
15117 Main Street Suite 205 #124
Mill Creek WA 98012
Phone: (425) 285-8338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LW60088199 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60088199 | Washington |
Profile Details
| NPI number | 1720304561 |
|---|---|
| LBN Legal business name | Von, Elenora P |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2010 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720304561 | NPPES |
| Washington | MEDICAID | 1982909 |
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