Arnold, Justin Prentis
Arnold, Justin Prentis is an sole proprietor health care provider with primary practice located at 2137 George Richey Rd , Longview TX 75604-9732. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Arnold, Justin Prentis can be contacted via phone (903) 759-5552.Contact Information
Primary practice address
2137 George Richey Rd
Longview TX 75604-9732
Phone: (903) 759-5552
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 68187 | Texas |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 68187 | Texas |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 68187 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 68187 | Texas |
Profile Details
NPI number | 1437772613 |
---|---|
LBN Legal business name | Arnold, Justin Prentis |
Credentials | MAMFC, LPC-S |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 22nd, 2020 |
Last updated | May 22nd, 2020 - about 4 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 | 1437772613 | NPPES |
Texas | Other | 68187 | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
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