Davenport, Austin

Davenport, Austin is an sole proprietor health care provider with primary practice located at 2475 Lakewood Dr , Grand Prairie TX 75054-6801. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Davenport, Austin can be contacted via phone (281) 389-8079.

Contact Information

Primary practice address
2475 Lakewood Dr Grand Prairie TX 75054-6801
Phone: (281) 389-8079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 72790 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 72790 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 72790 Texas

Profile Details

NPI number 1487336046
LBN Legal business name Davenport, Austin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2023
Last updated Aug 3rd, 2023 - 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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