Gardner, Carrie
Gardner, Carrie is an sole proprietor health care provider with primary practice located at 807 8Th St Ste 1212 , Wichita Falls TX 76301. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gardner, Carrie can be contacted via phone (940) 264-1212.Contact Information
Primary practice address
807 8Th St Ste 1212
Wichita Falls TX 76301
Phone: (940) 264-1212
Fax: (940) 264-1213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC14599 | Texas |
Profile Details
| NPI number | 1710972922 |
|---|---|
| LBN Legal business name | Gardner, Carrie |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Feb 6th, 2019 - about 5 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 | 1710972922 | NPPES |
| Texas | MEDICAID | 027684202 | |
| Texas | Other | 60971 | |
| Texas | Other | 3623LC | |
| Texas | Other | LPC14599 | |
| Texas | MEDICAID | 276842-01 |
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