Cason-Parks, Susan
Cason-Parks, Susan is an sole proprietor health care provider with primary practice located at 5620 Old Bullard Rd Suite 111 , Tyler TX 75703-4358. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cason-Parks, Susan can be contacted via phone (903) 534-1956.Contact Information
Primary practice address
5620 Old Bullard Rd Suite 111
Tyler TX 75703-4358
Phone: (903) 534-1956
Fax: (903) 534-1956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 35503 | Texas |
Profile Details
| NPI number | 1992793889 |
|---|---|
| LBN Legal business name | Cason-Parks, Susan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 31st, 2022 - about 2 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 | 1992793889 | NPPES |
| Texas | MEDICAID | 177504101 |
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