Ballenger, James Edward

Ballenger, James Edward is an sole proprietor health care provider with primary practice located at 4200 South Fwy Ste 2325 , Fort Worth TX 76115-1400. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ballenger, James Edward can be contacted via phone (817) 975-8015.

Contact Information

Primary practice address
4200 South Fwy Ste 2325 Fort Worth TX 76115-1400
Phone: (817) 975-8015
Fax: (817) 361-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23853 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 23853 Texas

Profile Details

NPI number 1730202466
LBN Legal business name Ballenger, James Edward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jun 13th, 2012 - about 12 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 1730202466 NPPES
Texas MEDICAID 1594087-01
Texas MEDICAID 159408703

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