Pace, Cheryl Ruth
Pace, Cheryl Ruth is an sole proprietor health care provider with primary practice located at 1520 Rice Rd Suite 200, Tyler TX 75703-3259. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pace, Cheryl Ruth can be contacted via phone (903) 581-6300.Contact Information
Primary practice address
1520 Rice Rd Suite 200
Tyler TX 75703-3259
Phone: (903) 581-6300
Fax: (903) 581-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 12998 | Texas |
Profile Details
| NPI number | 1154439057 |
|---|---|
| LBN Legal business name | Pace, Cheryl Ruth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 28th, 2010 - about 14 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 | 1154439057 | NPPES |
| Texas | MEDICAID | 095744102 | |
| Texas | Other | 0015MX | |
| Texas | MEDICAID | 095744101 |
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