Livesay, Harry Douglas

Livesay, Harry Douglas is an individual health care provider with primary practice located at 3950 N A W Grimes Blvd , Round Rock TX 78665-3540. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Livesay, Harry Douglas can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
3950 N A W Grimes Blvd Round Rock TX 78665-3540
Fax: (512) 238-9259
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26298 Texas

Profile Details

NPI number 1972724631
LBN Legal business name Livesay, Harry Douglas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 9th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972724631 NPPES
Texas MEDICAID 1999443-02

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