Bean-Wilcox, Tisha Rae

Bean-Wilcox, Tisha Rae is an sole proprietor health care provider with primary practice located at 155 Inverness Dr W Suite 110, Englewood CO 80112-5095. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bean-Wilcox, Tisha Rae can be contacted via phone (303) 999-2308.

Contact Information

Primary practice address
155 Inverness Dr W Suite 110 Englewood CO 80112-5095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1912192923
LBN Legal business name Bean-Wilcox, Tisha Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2007
Last updated Oct 12th, 2011 - about 13 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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