Chism, Amanda
Chism, Amanda is an sole proprietor health care provider with primary practice located at 1219 Dallas St , Port Neches TX 77651-2908. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Chism, Amanda can be contacted via phone (409) 234-5776.Contact Information
Primary practice address
1219 Dallas St
Port Neches TX 77651-2908
Phone: (409) 234-5776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 83492 | Texas |
Profile Details
| NPI number | 1457086001 |
|---|---|
| LBN Legal business name | Chism, Amanda |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2022 |
| Last updated | Jul 19th, 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.
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