Whitehead, Elizabeth
Whitehead, Elizabeth is an sole proprietor health care provider with primary practice located at 1323 Ammon Park Dr , Ammon ID 83406-4591. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Whitehead, Elizabeth can be contacted via phone (208) 932-8350.Contact Information
Primary practice address
1323 Ammon Park Dr
Ammon ID 83406-4591
Phone: (208) 932-8350
Fax: (208) 938-2330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-5751 | Idaho |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-5070 | Idaho |
Profile Details
NPI number | 1033469572 |
---|---|
LBN Legal business name | Whitehead, Elizabeth |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 12th, 2012 |
Last updated | Jun 30th, 2023 - about 2 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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