Gortney, Michele D

Gortney, Michele D is an individual health care provider with primary practice located at 240 E Renfro St Ste 201 , Burleson TX 76028-3940. She recently has 2 registered licenses in different health care specialties including 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. Gortney, Michele D can be contacted via phone (817) 913-1517.

Contact Information

Primary practice address
240 E Renfro St Ste 201 Burleson TX 76028-3940
Phone: (817) 913-1517
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19940 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 19940 Texas

Profile Details

NPI number 1659541092
LBN Legal business name Gortney, Michele D
Credentials L.P.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated Nov 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659541092 NPPES
Texas Other 88602L BLUECROSSBLUESHIELD PROV#
Texas MEDICAID 193966201 BLUECROSSBLUESHIELD PROV#

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