Foster, Mark
Foster, Mark is an individual health care provider with primary practice located at 100 E Broad St , Mansfield TX 76063-1702. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Foster, Mark can be contacted via phone (817) 477-1010.Contact Information
Primary practice address
100 E Broad St
Mansfield TX 76063-1702
Phone: (817) 477-1010
Fax: (817) 332-6489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 19198 | Texas |
Profile Details
| NPI number | 1861505083 |
|---|---|
| LBN Legal business name | Foster, Mark |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 8th, 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 | 1861505083 | NPPES |
| Texas | MEDICAID | 1766776 |
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