Jordan, Cilly

Jordan, Cilly is an sole proprietor health care provider with primary practice located at 135 Bunton Creek Rd Suite 304, Kyle TX 78640-5787. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jordan, Cilly can be contacted via phone (512) 217-6072.

Contact Information

Primary practice address
135 Bunton Creek Rd Suite 304 Kyle TX 78640-5787
Phone: (512) 217-6072
Fax: (512) 268-2759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LSOTP 98981 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 19069 Texas

Profile Details

NPI number 1588781793
LBN Legal business name Jordan, Cilly
Credentials LPC-S, LSOTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jul 31st, 2015 - about 9 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 1588781793 NPPES
Texas MEDICAID 1737843-01
Texas Other 7447LC

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