Jewell, Beth Faulkner
Jewell, Beth Faulkner is an sole proprietor health care provider with primary practice located at 8311 Red Willow Dr , Austin TX 78736-1721. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jewell, Beth Faulkner can be contacted via phone (512) 534-5429.Contact Information
Primary practice address
8311 Red Willow Dr
Austin TX 78736-1721
Phone: (512) 534-5429
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 16089 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 16089 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16089 | Texas |
Profile Details
| NPI number | 1437325495 |
|---|---|
| LBN Legal business name | Jewell, Beth Faulkner |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Aug 8th, 2011 - about 13 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 | 1437325495 | NPPES |
| Texas | MEDICAID | 148657302 |
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