Burch, Shawn
Burch, Shawn is an sole proprietor health care provider with primary practice located at 1175 Fm 2673 Ste 15 , Canyon Lake TX 78133-4514. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Burch, Shawn can be contacted via phone (830) 964-4054.Contact Information
Primary practice address
1175 Fm 2673 Ste 15
Canyon Lake TX 78133-4514
Phone: (830) 964-4054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15542 | Texas |
Profile Details
| NPI number | 1306061486 |
|---|---|
| LBN Legal business name | Burch, Shawn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1306061486 | NPPES |
| Texas | Other | 3941LC | BCBS ID |
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