Eckersley, Wanda Ruth
Eckersley, Wanda Ruth is an sole proprietor health care provider with primary practice located at 2006 Broadway St Suite 104, Pearland TX 77581-5564. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Eckersley, Wanda Ruth can be contacted via phone (281) 992-3300.Contact Information
Primary practice address
2006 Broadway St Suite 104
Pearland TX 77581-5564
Phone: (281) 992-3300
Fax: (281) 996-0261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17422 | Texas |
Profile Details
| NPI number | 1578615449 |
|---|---|
| LBN Legal business name | Eckersley, Wanda Ruth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Sep 21st, 2014 - about 10 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 | 1578615449 | NPPES |
| Texas | MEDICAID | 1490393-02 | |
| Texas | Other | 6070 LC |
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