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
Phone: (877) 800-5722
Fax: (512) 238-9259
Website:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1972724631 | NPPES |
Texas | MEDICAID | 1999443-02 |
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