Courson, Stacy Annette
Courson, Stacy Annette is an sole proprietor health care provider with primary practice located at 4241 Summerhill Rd , Texarkana TX 75503-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Courson, Stacy Annette can be contacted via phone (903) 793-7561.Contact Information
Primary practice address
4241 Summerhill Rd
Texarkana TX 75503-2733
Phone: (903) 793-7561
Fax: (903) 793-7569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 40125 | Texas |
Profile Details
| NPI number | 1144417593 |
|---|---|
| LBN Legal business name | Courson, Stacy Annette |
| Credentials | LBSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2007 |
| Last updated | Oct 1st, 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.
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