Petty, Laurie Ames
Petty, Laurie Ames is an individual health care provider with primary practice located at 14833 Midway Rd Suite 210, Addison TX 75001-4955. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Petty, Laurie Ames can be contacted via phone (214) 202-4687.Contact Information
Primary practice address
14833 Midway Rd Suite 210
Addison TX 75001-4955
Phone: (214) 202-4687
Fax: (214) 341-6017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17704 | Texas |
Profile Details
| NPI number | 1801072533 |
|---|---|
| LBN Legal business name | Petty, Laurie Ames |
| Credentials | M.ED., LPC, P.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Jan 11th, 2008 - about 16 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 | 1801072533 | NPPES |
| Texas | MEDICAID | 178379701 |
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