Ellason, Joan Weathersbee
Ellason, Joan Weathersbee is an sole proprietor health care provider with primary practice located at 101 E Park Blvd Suite #640, Plano TX 75074-5483. She 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 her primary health care specialty. Ellason, Joan Weathersbee can be contacted via phone (469) 831-4548.Contact Information
Primary practice address
101 E Park Blvd Suite #640
Plano TX 75074-5483
Phone: (469) 831-4548
Fax: (972) 918-9069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12612 | Texas |
Profile Details
| NPI number | 1396801403 |
|---|---|
| LBN Legal business name | Ellason, Joan Weathersbee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Feb 26th, 2024 - about 9 months 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 | 1396801403 | NPPES |
| Texas | MEDICAID | 028532201 | |
| Texas | MEDICAID | LP0053283 |
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