Polk, Bethany Moore
Polk, Bethany Moore is an sole proprietor health care provider with primary practice located at 11901 Toepperwein Rd Ste 1202 , Live Oak TX 78233-3159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polk, Bethany Moore can be contacted via phone (210) 951-3479.Contact Information
Primary practice address
11901 Toepperwein Rd Ste 1202
Live Oak TX 78233-3159
Phone: (210) 951-3479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 66357 | Texas |
Profile Details
| NPI number | 1619711645 |
|---|---|
| LBN Legal business name | Polk, Bethany Moore |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2024 |
| Last updated | Jun 24th, 2024 - about 6 months 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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