Pendleton, Edward Harold
Pendleton, Edward Harold is an sole proprietor health care provider with primary practice located at 2004 U S Highway 190 W , Livingston TX 77351-9601. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Pendleton, Edward Harold can be contacted via phone (936) 328-5880.Contact Information
Primary practice address
2004 U S Highway 190 W
Livingston TX 77351-9601
Phone: (936) 328-5880
Fax: (936) 328-5883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 17475 | Texas |
Profile Details
| NPI number | 1265437495 |
|---|---|
| LBN Legal business name | Pendleton, Edward Harold |
| Credentials | MA, LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 2nd, 2012 - about 12 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 | 1265437495 | NPPES |
| Texas | MEDICAID | 1508236-01 | |
| Texas | Other | 2119098 | |
| Texas | Other | 7605707 | |
| Texas | Other | PENDL-0002 | |
| Texas | Other | 11451816 | |
| Texas | Other | 551895 | |
| Texas | Other | 719494000 | |
| Texas | Other | 6088LC |
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