Gardner, Carol Irene

Gardner, Carol Irene is an individual health care provider with primary practice located at 1711 S Polk St , Amarillo TX 79102-3152. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gardner, Carol Irene can be contacted via phone (806) 354-0727.

Contact Information

Primary practice address
1711 S Polk St Amarillo TX 79102-3152
Phone: (806) 354-0727
Fax: (806) 354-0011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 13496 Texas

Profile Details

NPI number 1841279452
LBN Legal business name Gardner, Carol Irene
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Sep 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841279452 NPPES
Texas Other 0956039-03 TPMHMR MEDICAID LEGACY
Texas MEDICAID 0956039-02 TPMHMR MEDICAID LEGACY
Texas Other 3230LC TPMHMR MEDICAID LEGACY

Popular Providers