Littleberry, Merrill L
Littleberry, Merrill L is an individual health care provider with primary practice located at 4200 South Fwy Suite 424, Fort Worth TX 76115-1400. She 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Littleberry, Merrill L can be contacted via phone (817) 920-9321.Contact Information
Primary practice address
4200 South Fwy Suite 424
Fort Worth TX 76115-1400
Phone: (817) 920-9321
Fax: (817) 920-9336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9615 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 28682 | Texas |
Profile Details
| NPI number | 1649235060 |
|---|---|
| LBN Legal business name | Littleberry, Merrill L |
| Credentials | LCSW, LCDC, CCM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1649235060 | NPPES |
| Texas | Other | 63003 | HORIZON HEALTH |
| Texas | Other | 51MX | HORIZON HEALTH |
| Texas | Other | 560613 | HORIZON HEALTH |
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