Elliott, Tausha Bradshaw
Elliott, Tausha Bradshaw is an sole proprietor health care provider with primary practice located at 6010 E Hwy 191 Suite 120, Odessa TX 79762-5070. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Elliott, Tausha Bradshaw can be contacted via phone (432) 552-0230.Contact Information
Primary practice address
6010 E Hwy 191 Suite 120
Odessa TX 79762-5070
Phone: (432) 552-0230
Fax: (432) 552-0333
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 10811 | Texas |
Profile Details
NPI number | 1871550731 |
---|---|
LBN Legal business name | Elliott, Tausha Bradshaw |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 26th, 2006 |
Last updated | Dec 5th, 2007 - about 17 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 | 1871550731 | NPPES |
Texas | Other | 3704LC | BLUECROSSBLUESHIELD |
Texas | Other | 10811 | BLUECROSSBLUESHIELD |
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