Wallis, Karen Marie
Wallis, Karen Marie is an sole proprietor health care provider with primary practice located at 29325 Chagrin Blvd Suite #102, Beachwood OH 44122-4600. 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 / Mental Health is her primary health care specialty. Wallis, Karen Marie can be contacted via phone (216) 548-0523.Contact Information
Primary practice address
29325 Chagrin Blvd Suite #102
Beachwood OH 44122-4600
Phone: (216) 548-0523
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 091014 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E. 0500432 | Ohio |
Profile Details
NPI number | 1730416017 |
---|---|
LBN Legal business name | Wallis, Karen Marie |
Credentials | M.ED., PCC, LCDC III |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2009 |
Last updated | Nov 7th, 2009 - about 16 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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