MS. ETTA LOUISE CHARLEBOIS LISW-S NPI 1831371640

NPI Information

NPI: 1831371640
Provider Name: MS. ETTA LOUISE CHARLEBOIS, LISW-S
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
434 HOME STREET
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-2979
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MS. Etta Louise Charlebois, LISW-S is a mental health counselor in Georgetown, OH. MS. Etta Louise Charlebois, LISW-S NPI is 1831371640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

434 HOME STREET
GEORGETOWN, OH
ZIP 45121-321
Phone: (937) 378-2979
Fax: (937) 378-2970

The NPI 1831371640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/4/2007 and was last updated on 10/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	I-0005459	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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