1598063695 NPI number — ABIGAIL BILLINGS LPCC

Table of content: ABIGAIL BILLINGS LPCC (NPI 1598063695)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598063695 NPI number — ABIGAIL BILLINGS LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BILLINGS
Provider First Name:
ABIGAIL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598063695
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25700 SCIENCE PARK DRIVE, SUITE 200
Provider Second Line Business Mailing Address:
LANDMARK CENTRE.
Provider Business Mailing Address City Name:
BEACHWOOD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-831-1040
Provider Business Mailing Address Fax Number:
216-831-2667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24100 CHAGRIN BLVD
Provider Second Line Business Practice Location Address:
#400
Provider Business Practice Location Address City Name:
BEACHWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44122-5535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-831-1040
Provider Business Practice Location Address Fax Number:
216-831-2667
Provider Enumeration Date:
03/14/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  E.1200025 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 08258 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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