Heisser, Jennifer Lacey
Heisser, Jennifer Lacey is an sole proprietor health care provider with primary practice located at 4630 50Th St Ste 507 , Lubbock TX 79414-3520. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Heisser, Jennifer Lacey can be contacted via phone (806) 544-4045.Contact Information
Primary practice address
4630 50Th St Ste 507
Lubbock TX 79414-3520
Phone: (806) 544-4045
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 200950 | Texas |
Profile Details
NPI number | 1699979328 |
---|---|
LBN Legal business name | Heisser, Jennifer Lacey |
Credentials | PHD LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699979328 | NPPES |
Texas | Other | 200950 | LMFT |
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