Eisner, Joan Marylyn

Eisner, Joan Marylyn is an individual health care provider with primary practice located at 620 West Main St , League City TX 77573. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eisner, Joan Marylyn can be contacted via phone (281) 468-0997.

Contact Information

Primary practice address
620 West Main St League City TX 77573
Phone: (281) 468-0997
Fax: (281) 332-9930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15357 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 003689016822 Texas

Profile Details

NPI number 1679649313
LBN Legal business name Eisner, Joan Marylyn
Credentials LMSW ACP LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679649313 NPPES
Texas Other W50002398 TRI CARE
Texas MEDICAID W50002398 TRI CARE

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