Black, L. Diane

Black, L. Diane is an sole proprietor health care provider with primary practice located at 4301 Carter Creek Pkwy Suite 212, Bryan TX 77802-4485. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Black, L. Diane can be contacted via phone (979) 299-8315.

Contact Information

Primary practice address
4301 Carter Creek Pkwy Suite 212 Bryan TX 77802-4485
Phone: (979) 299-8315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 200999 Texas

Profile Details

NPI number 1659616365
LBN Legal business name Black, L. Diane
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2012
Last updated Dec 6th, 2012 - 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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