Kidwell, Candace T

Kidwell, Candace T is an sole proprietor health care provider with primary practice located at 6226 Colleyville Blvd Ste A , Colleyville TX 76034-6277. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kidwell, Candace T can be contacted via phone (682) 225-7871.

Contact Information

Primary practice address
6226 Colleyville Blvd Ste A Colleyville TX 76034-6277
Fax: (817) 310-0877
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 33930 Texas

Profile Details

NPI number 1154408706
LBN Legal business name Kidwell, Candace T
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 28th, 2008 - about 16 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 1154408706 NPPES
Other 1336198894 GRP NPI NUMBER
MEDICAID 162254001 GRP NPI NUMBER
Other 10012335 GRP NPI NUMBER
Other 1815750 GRP NPI NUMBER
Other 00G981 GRP NPI NUMBER
Other 9079924 GRP NPI NUMBER
Other 124220 GRP NPI NUMBER
Other 87082Q GRP NPI NUMBER

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