Wooton, Lena Rae

Wooton, Lena Rae is an sole proprietor health care provider with primary practice located at 602 Chillicothe St Ste M111 , Portsmouth OH 45662-4079. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wooton, Lena Rae can be contacted via phone (941) 445-0462.

Contact Information

Primary practice address
602 Chillicothe St Ste M111 Portsmouth OH 45662-4079
Phone: (941) 445-0462
Fax: (941) 445-0462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1700434-SUPV Ohio

Profile Details

NPI number 1548564669
LBN Legal business name Wooton, Lena Rae
Credentials M.ED., LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2011
Last updated May 9th, 2019 - about 5 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 1548564669 NPPES
Ohio MEDICAID 070980800
Ohio MEDICAID 070980800

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