Hisel, Larry Dale

Hisel, Larry Dale is an sole proprietor health care provider with primary practice located at 110 Wayside Dr , Amarillo TX 79106-6425. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hisel, Larry Dale can be contacted via phone (806) 683-5654.

Contact Information

Primary practice address
110 Wayside Dr Amarillo TX 79106-6425
Phone: (806) 683-5654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8690 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27228 Texas

Profile Details

NPI number 1245760222
LBN Legal business name Hisel, Larry Dale
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2017
Last updated Jul 21st, 2022 - about 3 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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