Coventry, Jim

Coventry, Jim is an individual health care provider with primary practice located at 1616 S Kentucky St , Amarillo TX 79102-2250. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Coventry, Jim can be contacted via phone (806) 463-7001.

Contact Information

Primary practice address
1616 S Kentucky St Amarillo TX 79102-2250
Phone: (806) 463-7001
Fax: (806) 463-7006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 04489 Texas

Profile Details

NPI number 1447251988
LBN Legal business name Coventry, Jim
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447251988 NPPES
Texas Other 00S26P BCBS

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