Adam, Gwendolyn Joy

Adam, Gwendolyn Joy is an individual health care provider with primary practice located at 6701 Fannin , Houston TX 77030. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adam, Gwendolyn Joy can be contacted via phone (832) 822-4004.

Contact Information

Primary practice address
6701 Fannin Houston TX 77030
Phone: (832) 822-4004
Fax: (832) 825-3689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29599 Texas

Profile Details

NPI number 1679579718
LBN Legal business name Adam, Gwendolyn Joy
Credentials LMSW, ACP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 2nd, 2009 - about 15 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 1679579718 NPPES
Texas MEDICAID 159465701

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