Boone, Glenn Paul
Boone, Glenn Paul is an sole proprietor health care provider with primary practice located at 7600 Burnet Rd Ste 320 , Austin TX 78757-1268. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Boone, Glenn Paul can be contacted via phone (512) 451-8818.Contact Information
Primary practice address
7600 Burnet Rd Ste 320
Austin TX 78757-1268
Phone: (512) 451-8818
Fax: (512) 452-0295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3157 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 11288 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2139 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2075 | Louisiana |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2683-002737 | Texas |
Profile Details
| NPI number | 1922194034 |
|---|---|
| LBN Legal business name | Boone, Glenn Paul |
| Credentials | M.DIV. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1922194034 | NPPES |
| Texas | Other | 3157 | LCDC LICENSE |
| Texas | Other | 11288 | LCDC LICENSE |
| Texas | Other | 2683-002737 | LCDC LICENSE |
Popular Providers
-
Frank, Brannon
401 W Slaughter Ln Ste 300 , Austin TX 78748-1774 -
Chopp, Richard Thomas
11410 Jollyville Rd Ste 1101, Austin TX 78759-4093 -
Young Knolle, Sue E
515 S Capital Of Texas Hwy Ste 100, Austin TX 78746-4305 -
Schoch, Eugene P
1015 East 32Nd St Suite 101, Austin TX 78705 -
Wicke, Amy
100 W Dean Keeton St , Austin TX 78712-1091 -
Keinarth, Paul D
5222 Burnet Rd Ste 200, Austin TX 78756-2433 -
Diaz, Julio Albert
200 E Cesar Chavez St , Austin TX 78701-4137 -
Boothe, Jason
4310 James Casey St Bldg 2, Austin TX 78745-1120