Dake, Thea
Dake, Thea is an individual health care provider with primary practice located at 310 Stagecoach Trl Suite 300, San Marcos TX 78666-5134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dake, Thea can be contacted via phone (512) 392-3398.Contact Information
Primary practice address
310 Stagecoach Trl Suite 300
San Marcos TX 78666-5134
Phone: (512) 392-3398
Fax: (512) 392-2890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00365 | Texas |
Profile Details
| NPI number | 1326031592 |
|---|---|
| LBN Legal business name | Dake, Thea |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1326031592 | NPPES |
| Texas | Other | 86463Q | BLUE CROSS BLUE SHIELD |
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