Booth, William

Booth, William is an sole proprietor health care provider with primary practice located at 5524 Bee Caves Rd Ste H2 , West Lake Hills TX 78746-5246. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Booth, William can be contacted via phone (512) 710-0551.

Contact Information

Primary practice address
5524 Bee Caves Rd Ste H2 West Lake Hills TX 78746-5246
Phone: (512) 710-0551
Fax: (512) 717-6337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 63617 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 45169 Texas

Profile Details

NPI number 1104477538
LBN Legal business name Booth, William
Credentials LCSW, MSW, LCDC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2019
Last updated Oct 26th, 2023 - about last year

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 1104477538 NPPES
Texas MEDICAID 440569801

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