Hawthorne, Sherry
Hawthorne, Sherry is an sole proprietor health care provider with primary practice located at 2378 County Road 256 , Nacogdoches TX 75965-0420. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hawthorne, Sherry can be contacted via phone (936) 569-8132.Contact Information
Primary practice address
2378 County Road 256
Nacogdoches TX 75965-0420
Phone: (936) 569-8132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 03799 | Texas |
Profile Details
| NPI number | 1235360264 |
|---|---|
| LBN Legal business name | Hawthorne, Sherry |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2009 |
| Last updated | Aug 8th, 2009 - 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 | 1235360264 | NPPES |
| Texas | MEDICAID | 108176202 |
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