Allen, Stephanie Kim
Allen, Stephanie Kim is an sole proprietor health care provider with primary practice located at 3301 N 3Rd St , Abilene TX 79603-7054. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Allen, Stephanie Kim can be contacted via phone (325) 725-0162.Contact Information
Primary practice address
3301 N 3Rd St
Abilene TX 79603-7054
Phone: (325) 725-0162
Fax: (855) 270-4606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60417321 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 103685 | Texas |
Profile Details
| NPI number | 1235434507 |
|---|---|
| LBN Legal business name | Allen, Stephanie Kim |
| Credentials | MSW, LICSW, GMHS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2011 |
| Last updated | Apr 20th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235434507 | NPPES |
| Washington | MEDICAID | 2054960 | |
| Washington | Other | P01627692 |
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