Love, Victor Wayne
Love, Victor Wayne is an sole proprietor health care provider with primary practice located at 780 Clepper Ste 202 , Montgomery TX 77356-3130. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Love, Victor Wayne can be contacted via phone (936) 520-1938.Contact Information
Primary practice address
780 Clepper Ste 202
Montgomery TX 77356-3130
Phone: (936) 520-1938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 004012 | Texas |
Profile Details
| NPI number | 1821143900 |
|---|---|
| LBN Legal business name | Love, Victor Wayne |
| Credentials | LMFT, LCDC, LSOTP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Dec 26th, 2023 - about last year |
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 | 1821143900 | NPPES |
| Texas | MEDICAID | 173496401 |
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