Provider Demographics
NPI:1144978917
Name:BILLI J LOPEZ
Entity type:Organization
Organization Name:BILLI J LOPEZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED INDEPENDENT SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:BILLI
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:419-704-6520
Mailing Address - Street 1:1219 HIGLEY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-2328
Mailing Address - Country:US
Mailing Address - Phone:419-704-6520
Mailing Address - Fax:
Practice Address - Street 1:5151 MONROE ST STE 250E
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3469
Practice Address - Country:US
Practice Address - Phone:419-684-2178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty