Medlock, Georgetta Marie

Medlock, Georgetta Marie is an sole proprietor health care provider with primary practice located at 5619 Maverick Bend Ln , Missouri City TX 77459-5096. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medlock, Georgetta Marie can be contacted via phone (713) 876-2267.

Contact Information

Primary practice address
5619 Maverick Bend Ln Missouri City TX 77459-5096
Phone: (713) 876-2267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 61268 Texas

Profile Details

NPI number 1417111535
LBN Legal business name Medlock, Georgetta Marie
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2008
Last updated Jan 8th, 2014 - about 10 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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