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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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